FIRSTCHOICE PRIMARY CARE LLC NPI 1376203133

NPI Information

NPI: 1376203133
Provider Name: FIRSTCHOICE PRIMARY CARE LLC

Doing Business As: FIRSTCHOICE PRIMARY CARE

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
9841 WASHINGTONIAN BLVD STE 200
GAITHERSBURG, MD
ZIP 20878
Phone: (240) 720-7797
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FIRSTCHOICE PRIMARY CARE LLC is a multi-specialty clinic center in Gaithersburg, MD. FIRSTCHOICE PRIMARY CARE LLC NPI is 1376203133. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Firstchoice Primary Care.

The provider's business location address is:

9841 WASHINGTONIAN BLVD STE 200
GAITHERSBURG, MD
ZIP 20878-350
Phone: (240) 720-7797

The provider's authorized official is Airelle Rucker-smith Dnp, Crnp .
The authorized official title is Medical Director/practice Owner and has the following contact phone number (240) 720-7797.

The CLIA number assigned to this NPI record is 21D2258003 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/21/2021 and was last updated on 11/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	133N00000X	Nutritionist		No
2	251E00000X	Home Health		No
3	261QH0100X	Clinic/Center	Health Service	No
4	261QP2300X	Clinic/Center	Primary Care	No
5	363L00000X	Nurse Practitioner		No
6	363LG0600X	Nurse Practitioner	Gerontology	No
7	363LP0200X	Nurse Practitioner	Pediatrics	No
8	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
9	363LP2300X	Nurse Practitioner	Primary Care	No
10	261QM1300X	Clinic/Center	Multi-Specialty	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	667069500	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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