Fastmed Holdings, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FASTMED HOLDINGS, PLLC

Practice address

5156 NC Highway 42 W Ste B
Garner, NC 27529-8417

Phone

(919) 779-7890

Fax

(919) 779-7896

NPI assigned

Mar 11, 2019

Organization subpart

No

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

Authorized official

Name

Shelley Jane Staymates

Title

National Credentialing Manager

Phone

(480) 500-2285

Specialties & licenses 4

Addresses

Other names 1

• FastMed Health, NC, PLLC Doing business as

Tax ID family

Fastmed Health NC PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Fastmed Health NC, PLLC

  • Family Medicine Physician
  • Clayton, NC
  • NPI 1528542693
  NPD tax ID
• Fastmed Holdings, PLLC

  • Family Medicine Physician
  • Clayton, NC
  • NPI 1154880813
  NPD tax ID
• Fastmed Holdings, PLLC

  • Family Medicine Physician
  • Asheville, NC
  • NPI 1568920387
  NPD tax ID

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1487112207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 SHOTWELL RD STE 108",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275205598",
            "telephone_number": "480-500-2285",
            "fax_number": "919-882-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5156 NC HIGHWAY 42 W STE B",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275298417",
            "telephone_number": "919-779-7890",
            "fax_number": "919-779-7896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASTMED HOLDINGS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "STAYMATES",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "NATIONAL CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "480-500-2285"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FastMed Health, NC, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mary J. Ference-Valenta, DO
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• Rosa M Magaly Fernandez
• Megan Jo Ferritto, MPAS, PA-C

• Family Medicine Physician in Garner, NC
• Providers in Garner, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.