Organization Active NPI

Medwest Family Practice, Inc.

  • Family Medicine Physician
  • Ashland City, TN
National Provider Identifier
1679612949
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Mar 4, 2008

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.