Family Medicine Center of Pampa PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY MEDICINE CENTER OF PAMPA PLLC

Practice address

3023 Perryton Pkwy
Suite 101
Pampa, TX 79065-2821

Phone

(806) 665-0801

Fax

(806) 665-8503

NPI assigned

Jul 10, 2006

Last updated

Aug 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathy Crawford

Title

Administrator

Phone

(806) 665-0801

Specialties & licenses 4

Addresses

Other identifiers 5

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keith N Black, DO

  • Family Medicine Physician
  • Panhandle, TX
  • NPI 1386668267
  NPD
• Sang Tae C Kim, DO

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1144330762
  NPD
• Dan C Powell, MD

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1912921701
  NPD

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1174556187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 PERRYTON PKWY",
            "address_2": "SUITE 101",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790652817",
            "telephone_number": "806-665-0801",
            "fax_number": "806-665-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 PERRYTON PKWY",
            "address_2": "SUITE 101",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790652821",
            "telephone_number": "806-665-0801",
            "fax_number": "806-665-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE CENTER OF PAMPA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "806-665-0801"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00L20L",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RADIOLOGY",
            "identifier": "R17034",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D0864498",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83668601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "00L20L",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krista Michele Eaton, PTA
• Emergency Services Foundation of Texas (Genesis Clinic)
• Emergency Services Foundation of Texas, Inc. (Pampa EMS)
• Alyssa Escamilla, FNP-C
• Family Med Now, PLLC
• Fannin County Hospital Authority (Pampa Nursing Center)
• Karla Fernandez, FNP-C
• Francisco Fiallo, M.D.
• Adrianna Estell Fields, M.S. CCC-SLP
• Michael NMN Follis, CRNA

• Family Medicine Physician in Pampa, TX
• Providers in Pampa, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.