FMC MEDICAL FOUNDATION, INC. (NPI# 1104255272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104255272 |
| Entity Type | Organization |
| Organization Name | FMC MEDICAL FOUNDATION, INC. |
| Practice Address |
1616 S Kentucky St Building B, Suite 100 Amarillo TX 79102-2252 |
| Practice Telephone | 8063558900 |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2019-12-09 |
| Authorized Official Name | STEFANIE FEEMSTER (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 8063589400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013276088 | Fmc Medical Foundation, Inc. | Family Medicine | 7306 Sw 34th Ave, Unit 4, Amarillo, TX 79121-1423 | 2012-05-11 |
| 1649205972 | Fmc Medical Foundation, Inc. | Physician Assistant | 1500 S. Coulter, Suite 6, Amarillo, TX 79106-1790 | 2006-07-12 |
| 1679920763 | Fmc Medical Foundation, Inc. | Nurse Practitioner | 400 Sw 14th Ave Ste 100, Amarillo, TX 79101-4140 | 2016-05-18 |
| 1922367580 | Fmc Medical Foundation, Inc. | Family Medicine | 7306 Sw 34th Ave, Unit 3, Amarillo, TX 79121-1423 | 2012-05-16 |
| 1427368083 | Fmc Medical Foundation, Inc. | Nurse Practitioner | 2701 S. Georgia, Amarillo, TX 79109-1930 | 2010-10-18 |
| Street Address |
1616 S KENTUCKY ST BUILDING B, SUITE 100 |
| City | AMARILLO |
| State | TX |
| Zip Code | 79102-2252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447251988 | Jim Coventry | Counselor | 1616 S Kentucky St, Amarillo, TX 79102-2250 | 2005-08-09 |
| 1669917498 | Britni Dawn Orr | Nurse Practitioner | 1616 S Kentucky St, Suite B-100, Amarillo, TX 79102-2252 | 2017-01-03 |
| 1558811869 | Fmc Medical Foundation, Inc | Family Medicine | 1616 S Kentucky St, B 100, Amarillo, TX 79102-2252 | 2016-10-11 |
| 1871991430 | Dorothy Yvonne Murphy | Nurse Practitioner | 1616 S Kentucky St, B100, Amarillo, TX 79102-2252 | 2014-12-15 |
| 1164866836 | Outreach Health Community Care Services, L.p. | Home Health | 1616 S Kentucky St, Suite 130a, Amarillo, TX 79102-2252 | 2013-04-24 |
| 1407032584 | Outreach Health Community Care Services Lp | Home Health | 1616 S Kentucky St, Suite 130a, Amarillo, TX 79102-2252 | 2008-01-18 |
| 1992980320 | A Way To Meaningful Life, Pa | Psychiatry & Neurology | 1616 S Kentucky St, Suite C-200, Amarillo, TX 79102-2252 | 2008-01-03 |
| 1043360829 | Jeanna D'ann Black | Counselor | 1616 S Kentucky St, Suite C-255, Amarillo, TX 79102-2252 | 2007-01-12 |
| 1942366091 | Diana Fielder | Counselor | 1616 S Kentucky St, Suite C-252, Amarillo, TX 79102-2252 | 2006-12-30 |
| 1619052875 | Leta Acker | Counselor | 1616 S Kentucky St, Bldg. D Suite 260, Amarillo, TX 79102-2252 | 2006-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396144416 | Tricia Loucks | Physical Therapy Assistant | 1619 S Kentucky St. F600, Amarillo, TX 79102 | 2014-08-14 |
| 1114238516 | Nicholas Allen Shields | Physical Therapist | 1619 South Kentucky St., Amarillo, TX 79102 | 2010-06-30 |
| 1093904872 | American Current Care P.a. | Clinic/Center | 1619 S Kentucky, Suite F-600, Amarillo, TX 79102 | 2007-10-17 |
| 1104950666 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 1619 S. Kentucky, Suite F-600, Amarillo, TX 79102 | 2007-03-15 |
| 1942375191 | Djk Home Healthcare, LLC | Nursing Care | 1612 S Van Buren St, Amarillo, TX 79102 | 2006-11-22 |
| 1821171422 | Patricia Ann Trimble | Counselor | 1721 S Tyler, Amarillo, TX 79102 | 2006-10-24 |
| 1396844106 | Edward Paul Brandenburg | Optometrist | 1200 W 15th Ave, Amarillo, TX 79102 | 2006-09-21 |
| 1922102334 | Suzanne S Brent | Psychologist | 1616 S Kentucky, C-200, Amarillo, TX 79102 | 2006-09-08 |
| 1841309689 | Wilbert Jackson Newton | Counselor | 1806 S. Harrison, Amarillo, TX 79102 | 2006-08-29 |
| 1073510061 | Victor Vern Hands | Surgery | 2001 Julian Blvd., Amarillo, TX 79102 | 2005-07-05 |
| Find all providers in zip 79102 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760949200 | Joy Medical Clinic Pllc | Family Medicine | 4310 S Western St Unit E, Amarillo, TX 79109-6036 | 2019-02-20 |
| 1679929723 | Megan Maguire Marshall Scott | Family Medicine | Regence Health Network, 3113 Ross St., Amarillo, TX 79103 | 2016-05-08 |
| 1013276088 | Fmc Medical Foundation, Inc. | Family Medicine | 7306 Sw 34th Ave, Unit 4, Amarillo, TX 79121-1423 | 2012-05-11 |
| 1629364435 | Sarah Christine Lozano | Family Medicine | 1900 S Coulter St Ste A, Amarillo, TX 79106-1785 | 2011-06-21 |
| 1508151309 | Anastacia J Nix | Family Medicine | 2329 Ross Osage St, Amarillo, TX 79103 | 2011-06-09 |
| 1932350550 | Preventative Healthcare Institute, LLC | Family Medicine | 1920 Medi Park Dr Ste 2, Amarillo, TX 79106-2111 | 2008-10-01 |
| 1750562450 | Drs. Stout & Cotton | Family Medicine | 2300 W 7th Ave, Amarillo, TX 79106-6623 | 2007-11-21 |
| 1861689572 | Cristiane Campos Ennis | Family Medicine | 1901 Medi Park Dr 103, Amarillo, TX 79106-2106 | 2007-09-26 |
| 1043405913 | Wesley Scott Nickens | Family Medicine | 603 Quail Creek Dr Spc 300, Amarillo, TX 79124 | 2007-09-12 |
| 1336360452 | Earl C. Hoffer | Family Medicine | Pantex Plant Fm 2373 At Hwy 60, Amarillo, TX 79120 | 2007-05-02 |
| Find all providers in AMARILLO | ||||
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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.