FIRST PRIMARY CARE & FAMILY MEDICINE INC (NPI# 1639277502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639277502 |
Entity Type | Organization |
Organization Name | FIRST PRIMARY CARE & FAMILY MEDICINE INC |
Other Organization Name | DIGIEXPRESS IMAGING |
Practice Address |
2587 Woodgrove Rd Fleming Island FL 32003-4974 |
Practice Telephone | 9042640286 |
Practice Fax Number | 9042640296 |
Mailing Telephone | 9042640286 |
Mailing Fax Number | 9042640296 |
Enumeration Date | 2006-09-21 |
Last Update Date | 2013-07-02 |
Authorized Official Name | DR. HUI TANG (PRESIDENT/OWNER) |
Authorized Official Telephone | 9042640286 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | ME85064 | FL | Allopathic & Osteopathic Physicians |
Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | HCC7670 | FL | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | MEDICARE PTAN | W9969 | 01 |
FL | 003760500 | 05 |
Other Name | Type Code |
---|---|
Digiexpress Imaging | Doing Business As Name - Organization |
Street Address |
2587 WOODGROVE RD |
City | FLEMING ISLAND |
State | FL |
Zip Code | 32003-4974 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649758012 | Pruitthealth - Fleming Island, LLC | Skilled Nursing Facility | 2040 Town Center Boulevard, Fleming Island, FL 32003 | 2018-07-30 |
1841733904 | Linda Giacobbe | Community/Behavioral Health | 4609 Hwy 17, Suite 1, Fleming Island, FL 32003 | 2016-11-22 |
1538515796 | Kelly Standish | Dentist | 1700 Eagle Harbor Parkway East, Orange Park, FL 32003 | 2016-05-06 |
1396119301 | Emily Benn | Physical Therapist | 4689 Hwy 17, Suite 11, Fleming Island, FL 32003 | 2015-11-16 |
1467834929 | Sherrye Frady | Nurse Practitioner | 1915 East West Pkwy #2, Fleming Island, FL 32003 | 2015-06-22 |
1023497658 | Musa Medical Supplies | Durable Medical Equipment & Medical Supplies | 1915 Eastwest Parkway, Fleming Island, FL 32003 | 2015-05-28 |
1093125676 | Stephen Gibbs | Orthopaedic Surgery | 4689 Highway 17, Suite 11, Fleming Island, FL 32003 | 2014-05-05 |
1033555198 | Lillie Elaine Switanek | Social Worker | 1 743 Cr 220, Fleming Island, FL 32003 | 2013-05-16 |
1003188475 | Comfortable Care Dental Health Professionals | Dentist | 1647 Country Road 220, Suite 101, Fleming Island, FL 32003 | 2012-02-01 |
1285901488 | Lynzie Lane Cammilleri | Pharmacist | 1565 Doctor's Inlet, Orange Park, FL 32003 | 2011-11-17 |
Find all providers in zip 32003 |
Taxonomy Code | 335V00000X |
Grouping | Suppliers |
Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
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1295345932 | Housecallspinedoctor.com, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 221 W Hallandale Beach Blvd # 346, Hallandale Beach, FL 33009-5441 | 2020-08-07 |
1265065924 | Affordable Portable Ultrasound LLP | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1211 Tech Blvd Ste 114, Tampa, FL 33619-7846 | 2020-02-20 |
1467016725 | Rtm Billing Services | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 685 S Ronald Reagan Blvd Ste 205, Longwood, FL 32750-6435 | 2019-04-23 |
1174081889 | Spectrum Geotech LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3313 Bartlett Blvd, Orlando, FL 32811-6401 | 2019-03-12 |
1386123503 | Afily8 Government Solutions, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5371 Nw 32nd Ct, Margate, FL 33063-1504 | 2018-08-08 |
1780178947 | Diagnostic Alianza Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 8739 Sw 4th Ln, Miami, FL 33174-2438 | 2018-06-20 |
1407343031 | Imaging Health Solution LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6296 Corporate Ct Unit A201c, Fort Myers, FL 33919-3500 | 2018-04-19 |
1093211898 | Mobile Sound LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1774 Via Granada, Boynton Beach, FL 33426-8256 | 2018-04-02 |
1912409301 | Precision Medical Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5404 Gulfport Ter, Port Charlotte, FL 33981-2028 | 2018-03-01 |
1023540648 | Emerald Coast Medical Supplies LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 48 Bald Eagle Dr, Santa Rosa Beach, FL 32459 | 2017-04-02 |
Find all providers with the same taxonomy |
City | FLEMING ISLAND |
Zip Code | 32003 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.