NPIMap

Organization Active NPI

FMC Medical Foundation, Inc.

Doing business as FMC Coulter & 34th

  • Family Medicine Physician
  • Amarillo, TX
National Provider Identifier
1013276088
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FMC MEDICAL FOUNDATION, INC.
Doing business as
FMC Coulter & 34th
Practice address
7306 SW 34TH Ave
Unit 4
Amarillo, TX 79121-1423
Phone
(806) 350-8850
Fax
(806) 350-8855
NPI assigned
May 11, 2012
Last updated
Jan 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Steven Gregory Smith
Title
Cfo
Phone
(806) 350-5795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

7306 SW 34TH Ave
Unit 4
Amarillo, TX 79121-1423

Mailing address

7306 SW 34TH Ave
Unit 4
Amarillo, TX 79121-1423
Phone (806) 350-8850

Other names 1

  • FMC Coulter & 34th Doing business as

National Provider Directory

National Provider Directory
Tax ID family
FMC Medical Foundation Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1013276088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7306 SW 34TH AVE",
            "address_2": "UNIT 4",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791211423",
            "telephone_number": "806-350-8850",
            "fax_number": "806-350-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7306 SW 34TH AVE",
            "address_2": "UNIT 4",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791211423",
            "telephone_number": "806-350-8850",
            "fax_number": "806-350-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMC MEDICAL FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "806-350-5795"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FMC Coulter & 34th",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.