NPIMap

Organization Active NPI

Fastmed Urgent Care PC

  • General Practice Physician
  • Boone, NC
National Provider Identifier
1821391491
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
FASTMED URGENT CARE PC
Practice address
178 Highway 105 Ext
Suite 101
Boone, NC 28607-5254
Phone
(828) 265-7146
Fax
(828) 265-7150
NPI assigned
Dec 21, 2010
Last updated
Aug 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Authorized official

Name
Jason Williams
Title
President & Ceo, Eastern Region
Phone
(919) 550-0821

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

178 Highway 105 Ext
Suite 101
Boone, NC 28607-5254

Mailing address

935 Shotwell Rd
Suite 108
Clayton, NC 27520-5597
Phone (919) 550-0821

National Provider Directory

National Provider Directory
Tax ID family
Urgent Cares of America NC Inc85 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1821391491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 SHOTWELL RD",
            "address_2": "SUITE 108",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275205597",
            "telephone_number": "919-550-0821",
            "fax_number": "919-550-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 HIGHWAY 105 EXT",
            "address_2": "SUITE 101",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075254",
            "telephone_number": "828-265-7146",
            "fax_number": "828-265-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASTMED URGENT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT & CEO, EASTERN REGION",
        "authorized_official_telephone_number": "919-550-0821"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.