Active NPI
Medwest Family Practice, Inc.
- Family Medicine Physician
- Ashland City, TN
National Provider Identifier
1679612949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MEDWEST FAMILY PRACTICE, INC.
- Practice address
- 104 Frey St
Suite 100
Ashland City, TN 37015-1792 - Phone
- (615) 792-2292
- Fax
- (615) 792-2207
- NPI assigned
- Feb 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lance Gardiner
- Title
- Administrator
- Phone
- (615) 792-2292
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Pediatrics Physician | 208000000X |
Addresses
Primary practice location
104 Frey St
Suite 100
Ashland City, TN 37015-1792
Mailing address
PO Box 24010
Nashville, TN 37202-4010
Phone (615) 792-2292
National Provider Directory
National Provider DirectoryLocations
104 Frey St
Ste 100
Ashland City, TN 37015
Phone (615) 792-2292
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204588800000",
"number": "1679612949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24010",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372024010",
"telephone_number": "615-792-2292",
"fax_number": "615-376-0199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 FREY ST",
"address_2": "SUITE 100",
"city": "ASHLAND CITY",
"state": "TN",
"postal_code": "370151792",
"telephone_number": "615-792-2292",
"fax_number": "615-792-2207"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDWEST FAMILY PRACTICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-05",
"last_updated": "2008-03-04",
"status": "A",
"authorized_official_last_name": "GARDINER",
"authorized_official_first_name": "LANCE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "615-792-2292"
},
"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": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashland City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.