FMC Medical Foundation, Inc
Organization Active NPI Pediatrics Physician · Amarillo, TX
NPI 1003825852 · NPPES record last updated Dec 19, 2022
Key facts
- NPI
- 1003825852
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- FMC MEDICAL FOUNDATION, INC
- Practice address
- 1500 S Coulter St Ste 1
Amarillo, TX 79106-1787 - Phone
- (806) 354-0404
- Fax
- (806) 354-2810
- NPI assigned
- Aug 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Stefanie Feemster
- Title
- Credentialing Specialist
- Phone
- (806) 358-9400
Corporate family (same tax ID) 7
Practitioners 6
-
Kimberly Anglin, FNP
-
Lori A Brown, FNP
-
Kathryn A Clement, FNP-C
-
Sherri Lee Drinnon, FNP
-
Jackie K Wurtz, FNP
-
Naveed Mughal, MD
National Provider Directory
- Tax ID family
- FMC Medical Foundation Inc
Locations
1500 S Coulter St
Ste 4
Amarillo, TX 79106
Phone (806) 351-2477
1500 S Coulter St
Amarillo, TX 79106
Phone (806) 354-0404
1901 Medi Park Dr
#1501
Amarillo, TX 79106
Phone (806) 354-0404
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Pediatrics Physician |
208000000X | Yes | ||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
1500 S Coulter St Ste 1
Amarillo, TX 79106-1787
Mailing address
1500 S Coulter St Ste 1
Amarillo, TX 79106-1787
Phone (806) 354-0404
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 081138203 | Medicaid | TX | |
| 134071303 | Medicaid | TX | |
| 081138202 | Medicaid | TX | |
| 081138201 TERM 12/16 | Medicaid | TX | |
| 0077BM | Other | TX | BCBS |
Other names
- Panhandle Pediatric Group P A
Other providers in Amarillo, TX
- FMC Clinics II PA
- FMC Clinics, P.a.
- FMC Clinics, P.a.
- FMC Long-Term Care, P.a.
- FMC LTC Aco LLC
- FMC Medical Foundation, Inc
- FMC Medical Foundation, Inc.
- FMC Medical Foundation, Inc.
- FMC Medical Foundation, Inc.
- FMC Medical Foundation, Inc.
All providers in Amarillo, TX · Pediatrics Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.