Fasika Getahun Gebremariam, CERTIFICATE

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

478337 Issued in TN

Practice address

4248 October Woods Dr
Antioch, TN 37013-4876

Phone

(615) 815-7892

NPI assigned

Sep 14, 2012

Last updated

Sep 14, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Fastran LLC

  dba Non Emergency Medical Transportation

  • Non-emergency Medical Transport (VAN)
  • Murfreesboro, TN
  • NPI 1316712185
  NPD Authorized official

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1336499698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4248 OCTOBER WOODS DR",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370134876",
            "telephone_number": "615-815-7892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4248 OCTOBER WOODS DR",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370134876",
            "telephone_number": "615-815-7892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBREMARIAM",
        "first_name": "FASIKA",
        "middle_name": "GETAHUN",
        "credential": "CERTIFICATE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "TN",
            "license": "478337",
            "primary": true
        },
        {
            "code": "2471M1202X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": "TN",
            "license": "478337",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian B Gainous, O.D.
• Janet M Gambrell, RPH
• Ervin Garcia, FNP-BC
• Jessica Elizabeth Garnea, MD
• Erin Mackay Gatgens, LPT, DPT
• Feson Gebremedhin
• Kerillos Gendy
• Gentle Hands Home Health Care Service
• Genx Investments LLC (Priest Lake Dental)
• George Ruccio

• Radiologic Technologist in Antioch, TN
• Providers in Antioch, TN by specialty
• Radiologic Technologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.