Physician First Pc

LBN: Physician First Pc
Physician First Pc is an health care organization with primary practice located at 2725 Keith St Nw , Cleveland TN 37312. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Physician First Pc can be contacted via phone (423) 476-3330, or through Mazza, Gerard K via phone (423) 476-3330.

Contact Information

Primary practice address
2725 Keith St Nw Cleveland TN 37312
Phone: (423) 476-3330
Fax: (423) 476-5802
Website:
Map and Directions
Authorized official contact:
Name: Mazza, Gerard K Doctor of Medicine (MD)
Phone: (423) 476-3330

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD015727 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA0000000148 Tennessee

Profile Details

NPI number 1629108691
LBN Legal business name Physician First Pc
DBA Doing business as
Authorized official Mazza, Gerard K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629108691 NPPES
Tennessee MEDICAID 3841466
Tennessee Other 4009361

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