FMC Medical Foundation, Inc
Organization Active NPI Family Medicine Physician · Canyon, TX
NPI 1619902848 · NPPES record last updated Mar 3, 2020
Key facts
- NPI
- 1619902848
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- FMC MEDICAL FOUNDATION, INC
- Practice address
- 911 23Rd Street
Canyon, TX 79015-4600 - Phone
- (806) 655-2104
- Fax
- (806) 655-0522
- NPI assigned
- Jul 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Stefanie Feemster
- Title
- Credentialing Specialist
- Phone
- (806) 358-9400
Corporate family (same tax ID) 7
Practitioners 29
-
Courtni Andrus, N.P.
-
Anthony Alan Arvello, PA-C
-
Wanda Lu Clark, FNP
-
Cynthia Lynn Coffelt-Whisenant, DNP, APRN, FNP-BC
-
Thomas Wayne Crowell, NP-C
-
Tanya Dee Darby, PMHNP
-
Tonia Field, P.A.
-
Kathy Ann Ford, FNP-C
-
April Amy Hunley, MSN, FNP-BC, AQH
-
Cindy I Hutson, DO
-
Holly L Jeffreys, FNP-C
-
Jennifer Leheska, PHD, RD, LD
-
Kelly L Linley, PA-C
-
Luann B Meyer, WHNP
-
Vickie Payne, PA-C
-
Brianna Deone Ricenbaw, FNP-C
-
Kasey L Rowe, PA-C
-
Charlene M Seale, FNP
-
Andrea Leigh Stone, FNP-C
-
Kori Lynn Trimble, PA-C
-
Elizabeth Janette Woods, APRN, MSN
-
Gerald Little, FNP-C
National Provider Directory
- Tax ID family
- FMC Medical Foundation Inc
Locations
8601 Hillside Rd
Amarillo, TX 79119
Phone (806) 350-6805
1500 S Coulter St
Ste 1
Amarillo, TX 79106
Phone (806) 354-0404
7306 SW 34th Ave
Ste 3
Amarillo, TX 79121
Phone (806) 350-3010
5807 SW 45th Ave
Amarillo, TX 79109
Phone (806) 353-7201
7306 SW 34th Ave
Amarillo, TX 79121
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Physician Assistant |
363A00000X | |||
| Family Nurse Practitioner |
363LF0000X |
Addresses
Primary practice location
911 23Rd Street
Canyon, TX 79015-4600
Mailing address
911 23Rd Street
Canyon, TX 79015-4600
Phone (806) 655-2104
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45D0506538 | Other | TX | CLIA |
Other names
- FMC Canyon
- Family Medicine Center Canyon
Other providers in Canyon, TX
- Faith Medical Clinic, PLLC
- Faith Medical Clinic, PLLX
- Heather Ann Ferrell
- Regina Margaret Finke
- Justin Fisk
- Kimberly Follis
- Foot Clinic of the High Plains PLLC
- Ashton Foster
- Traci B Fredman
- Reagan Frye
All providers in Canyon, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.