Provider Demographics
NPI:1053077263
Name:DOCTORS FIRST P.C.
Entity Type:Organization
Organization Name:DOCTORS FIRST P.C.
Other - Org Name:FIRST MEDICAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JAKELYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:CALLEJAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-205-8182
Mailing Address - Street 1:12800 MIDDLEBROOK RD STE 400
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-5282
Mailing Address - Country:US
Mailing Address - Phone:240-205-8182
Mailing Address - Fax:
Practice Address - Street 1:8600 SNOWDEN RIVER PKWY STE 207
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-1985
Practice Address - Country:US
Practice Address - Phone:301-515-2901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-11
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD4107675503Medicaid
MD417426704Medicaid