Individual provider Active NPI

Debra A Fast, DO

  • Internal Medicine Physician
  • Wooster, OH
National Provider Identifier
1184624496
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34006859F Issued in OH
Practice address
3727 Friendsville Rd
Suite2
Wooster, OH 44691-7131
Phone
(330) 202-3444
Fax
(330) 202-3435
NPI assigned
Jul 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34006859F OH Primary

Addresses

Primary practice location

3727 Friendsville Rd
Suite2
Wooster, OH 44691-7131

Mailing address

3727 Friendsville Rd
Suite2
Wooster, OH 44691-7131
Phone (330) 202-3444

Other identifiers 1

IdentifierTypeStateIssuer
2117426MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091104000233 OH Practitioner - Internal Medicine 9739136789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio University, College of Osteopathic Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Internal Medicine IncGroup PAC ID 5395792345, 4 clinicians

Practice addresses (Care Compare)

3727 Friendsville Rd
Unit 2
Wooster, OH 44691-7127
Phone (330) 202-3434

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34006859FOHMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: debrafast@est.allscriptsdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1184624496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 FRIENDSVILLE RD",
            "address_2": "SUITE2",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446917131",
            "telephone_number": "330-202-3444",
            "fax_number": "330-202-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 FRIENDSVILLE RD",
            "address_2": "SUITE2",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446917131",
            "telephone_number": "330-202-3444",
            "fax_number": "330-202-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAST",
        "first_name": "DEBRA",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34006859F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2117426",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.