Organization Active NPI

Tri-City Express Care, PLLC

Doing business as FastMed Urgent Care

  • Family Medicine Physician
  • Florence, AZ
National Provider Identifier
1235398199
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OTC4452 Issued in AZ
Legal business name
TRI-CITY EXPRESS CARE, PLLC
Doing business as
FastMed Urgent Care
Practice address
495 N Pinal Pkwy
Suite #106
Florence, AZ 85132-9292
Phone
(520) 868-0573
Fax
(520) 868-0533
NPI assigned
Jun 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Authorized official

Name
Dr. Michael Patrick Dunn, MD
Title
Medical Director/Owner
Phone
(480) 545-1413

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OTC4452 AZ Primary
Urgent Care Clinic/Center 261QU0200X OTC3934 AZ

Addresses

Primary practice location

495 N Pinal Pkwy
Suite #106
Florence, AZ 85132-9292

Mailing address

890 W Elliot Rd
Suite 103
Gilbert, AZ 85233-5102
Phone (480) 545-2787

Other identifiers 1

IdentifierTypeStateIssuer
451778MedicaidAZ

Other names 1

  • FastMed Urgent Care Doing business as

National Provider Directory

National Provider Directory

Locations

495 N Pinal Pkwy
Ste 108
Florence, AZ 85132

495 N Pinal Pkwy
Ste 106
Florence, AZ 85132
Phone (520) 568-0573

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1235398199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 W ELLIOT RD",
            "address_2": "SUITE 103",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335102",
            "telephone_number": "480-545-2787",
            "fax_number": "480-545-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 N PINAL PKWY",
            "address_2": "SUITE #106",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "851329292",
            "telephone_number": "520-868-0573",
            "fax_number": "520-868-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITY EXPRESS CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "480-545-1413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "OTC4452",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "AZ",
            "license": "OTC3934",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "451778",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FastMed Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.