NPIMap

Organization Active NPI

FMC Medical Foundation, Inc.

Doing business as BSA CareXpress Downtown

  • Family Medicine Physician
  • Amarillo, TX
National Provider Identifier
1679920763
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FMC MEDICAL FOUNDATION, INC.
Doing business as
BSA CareXpress Downtown
Practice address
400 SW 14TH Ave Ste 100
Amarillo, TX 79101-4140
Phone
(806) 337-4555
Fax
(806) 350-5791
NPI assigned
May 18, 2016
Last updated
May 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Authorized official

Name
Steven Gregory Smith
Title
Cfo
Phone
(806) 350-5795

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

400 SW 14TH Ave Ste 100
Amarillo, TX 79101-4140

Mailing address

400 SW 14TH Ave Ste 100
Amarillo, TX 79101-4140
Phone (806) 337-4555

Other names 1

  • BSA CareXpress Downtown Doing business as

National Provider Directory

National Provider Directory
Tax ID family
FMC Medical Foundation Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

1400 S Van Buren St
Amarillo, TX 79101
Phone (806) 212-0888

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1679920763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SW 14TH AVE STE 100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791014140",
            "telephone_number": "806-337-4555",
            "fax_number": "806-337-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SW 14TH AVE STE 100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791014140",
            "telephone_number": "806-337-4555",
            "fax_number": "806-350-5791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMC MEDICAL FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "806-350-5795"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BSA CareXpress Downtown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.