TWIN PEAKS MEDICAL ASSOCIATES PLLC (NPI# 1558387845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558387845 |
| Entity Type | Organization |
| Organization Name | TWIN PEAKS MEDICAL ASSOCIATES PLLC |
| Other Organization Name | FASTRAX URGENT CARE CENTER |
| Practice Address |
2002 N Stockton Hill Rd Suite 103 Kingman AZ 86401-4698 |
| Practice Telephone | 9287533303 |
| Practice Fax Number | 9287533603 |
| Mailing Telephone | 9287533303 |
| Mailing Fax Number | 9287533603 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2008-04-08 |
| Authorized Official Name | MR. DONOVAN SCHMIDT (MANAGING PHYSICIAN PARTNER) |
| Authorized Official Telephone | 9287533303 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
OTC3597 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 850166 | 05 |
| Other Name | Type Code |
|---|---|
| Fastrax Urgent Care Center | Doing Business As Name - Organization |
| Street Address |
2002 N STOCKTON HILL RD SUITE 103 |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86401-4698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124014196 | Elias Omar Ruiloba | Psychiatry & Neurology | 2002 N Stockton Hill Rd, #104, Kingman, AZ 86401-4698 | 2005-09-23 |
| 1174860290 | Leellen Lou Anderson | Counselor | 2002 N Stockton Hill Rd, Kingman, AZ 86401-4698 | 2013-01-09 |
| 1225374515 | Barbara J Wanland | Counselor | 2002 N Stockton Hill Rd, Kingman, AZ 86401-4698 | 2012-12-14 |
| 1578586806 | John J Pierce | Emergency Medicine | 2002 N Stockton Hill Rd, Suite 103, Kingman, AZ 86401-4698 | 2006-07-26 |
| 1639195365 | Jose L Gochoco | Emergency Medicine | 2002 N Stockton Hill Rd, Suite 102, Kingman, AZ 86401-4698 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053858704 | Robert Cole | Nurse Practitioner | 3545 Cheyenne Ave, King,an, AZ 86401 | 2017-01-19 |
| 1710420286 | Acadia Healthcare Inc | Nurse Practitioner | 2699 E Andy Devine, Suite B, Kingman, AZ 86401 | 2016-11-30 |
| 1174079800 | Kenneth Mcadow | Physical Therapist | 2404 Stockton Hill Road, Suite K, Kingman, AZ 86401 | 2016-09-01 |
| 1649659483 | Tracie Hirz | Case Manager/Care Coordinator | 3656 Packsaddle Road, Kingman, AZ 86401 | 2015-05-27 |
| 1548657695 | Chelsea Presbrey | Family Medicine | 2202 N Stockton Hill Rd Ste 100, Kingman, AZ 86401 | 2015-04-15 |
| 1649617226 | Abubakr Abdelmunim Tagelsir Abdelaziz | Internal Medicine | 2501 N Stockton Hill Rd Ste 102, Kingman, AZ 86401 | 2013-05-23 |
| 1205173325 | Patricia Jean Marko | Social Worker | 2002 Stockton Hill Road, Mohave Mental Health Clinic, Inc., Kingman, AZ 86401 | 2013-01-09 |
| 1770835316 | Hae Young Lee | Dentist | 2058 Maya Dr., Kingman, AZ 86401 | 2012-10-05 |
| 1255681623 | Hilary Radler | Specialist/Technologist | 3033 Macdonald, Kingman, AZ 86401 | 2012-09-13 |
| 1477836880 | Goodwill of Northern Arizona | Exclusive Provider Organization | 2369 Airway Avenue, Kingman, AZ 86401 | 2011-09-21 |
| Find all providers in zip 86401 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760703805 | Kingman Healthcare, Inc | Clinic/Center | 1726 E Beverly Ave Ste A, Kingman, AZ 86409-3500 | 2010-06-11 |
| 1306356738 | Salim Medical Urgent Care | Clinic/Center | 1465 E Northern Ave, Kingman, AZ 86409-2402 | 2017-10-12 |
| 1699159111 | Northern Arizona Medical Group, Pllc | Clinic/Center | 3555 Western Ave, Kingman, AZ 86409-3011 | 2015-07-14 |
| 1962657783 | Arizona Institure of Medicine & Surgery | Clinic/Center | 3636 Stockton Hill Rd, Kingman, AZ 86409 | 2008-11-20 |
| 1861646432 | Fastrax Urgent Care | Clinic/Center | 2002 Stockton Hill Rd, Ste, Kingman, AZ 86401-4698 | 2008-11-10 |
| 1376730119 | Jose Gochoco Do Pllc | Clinic/Center | 2002 Stockton Hill Rd, #102, Kingman, AZ 86401-4698 | 2007-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305312 | Right Care Urgent Care LLC | Clinic/Center | 9041 E Talking Stick Way, Scottsdale, AZ 85250-8521 | 2020-10-26 |
| 1528675865 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 4959 W Ray Rd Ste 33, Chandler, AZ 85226-2098 | 2020-09-30 |
| 1952918583 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 2875 W Ray Rd Ste 8, Chandler, AZ 85224-3619 | 2020-09-28 |
| 1962019554 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 725 S Rural Rd Ste 120, Tempe, AZ 85281-2047 | 2020-09-28 |
| 1265049894 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 12775 W Bell Rd Ste 100, Surprise, AZ 85378-9770 | 2020-09-28 |
| 1982211512 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 1810 S Power Rd Ste 101, Mesa, AZ 85206-4325 | 2020-09-28 |
| 1508473133 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 2860 W Peoria Ave Ste B, Phoenix, AZ 85029-5218 | 2020-09-28 |
| 1891302428 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 3244 S Mill Ave Ste 101, Tempe, AZ 85282-3688 | 2020-09-28 |
| 1396352985 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 3705 S Arizona Ave Ste 1, Chandler, AZ 85248-2703 | 2020-09-28 |
| 1588271118 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 4902 E Shea Blvd Ste 101, Scottsdale, AZ 85254-4184 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
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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.