FAST PACE MEDICAL CLINIC LLC (NPI# 1073013306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073013306 |
| Entity Type | Organization |
| Organization Name | FAST PACE MEDICAL CLINIC LLC |
| Practice Address |
108 Courtright Rd Martin TN 38237-1607 |
| Mailing Address |
Po Box 1258 Waynesboro TN 38485-1258 |
| Practice Telephone | 7312814183 |
| Practice Fax Number | 7312814194 |
| Mailing Telephone | 9312531110 |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2018-02-13 |
| Authorized Official Name | ROBERT BENSON (COO) |
| Authorized Official Telephone | 9312531110 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1515574 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053628867 | Fast Pace Medical Clinic LLC | Family Medicine | 1805 Wayne Rd, Savannah, TN 38372-5168 | 2010-09-01 |
| 1508366832 | Fast Pace Medical Clinic LLC | Family Medicine | 560 E Main St, Hohenwald, TN 38462-2006 | 2018-02-13 |
| 1619477080 | Fast Pace Medical Clinic LLC | Family Medicine | 756 Cosby Hwy, Newport, TN 37821-3455 | 2018-02-13 |
| Street Address |
108 COURTRIGHT RD |
| City | MARTIN |
| State | TN |
| Zip Code | 38237-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699255794 | Mark Vinson | Nurse Practitioner | 108 Courtright Rd, Martin, TN 38237-1607 | 2018-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578034385 | Megan Ables | Pharmacist | 2253 Mount Pelia Road, Martin, TN 38237 | 2018-12-06 |
| 1336669159 | Alex Reamy | Specialist/Technologist | 15 Mt. Pelia Road, Martin, TN 38237 | 2017-06-22 |
| 1134655731 | West Tennessee Rehabilitation Hospital, LLC | Medicare Defined Swing Bed Unit | 180 Mount Pelia Road, Martin, TN 38237 | 2017-05-03 |
| 1275901381 | William Zimmerman | Chiropractor | 633 Haygood Rd, Martin, TN 38237 | 2015-09-04 |
| 1588080683 | Cory S Davis | Chiropractor | 116 Masonic Dr, Martin, TN 38237 | 2014-03-13 |
| 1063837946 | Tolliver-scott & Associates | Private Vehicle | 113 Kenny Road, Martin, TN 38237 | 2014-02-28 |
| 1982932711 | Anne M Fritcher | Physician Assistant | 189 Mount Pelia Rd, Martin, TN 38237 | 2009-12-07 |
| 1295062669 | Laura C Plunk | Behavioral Analyst | University Commons, Martin, TN 38237 | 2009-11-05 |
| 1710210497 | Stacie M. Callins | Specialist | 180 Mt. Pelia Rd., Healthsouth Cane Creek Rehab. Hospital, Martin, TN 38237 | 2009-09-11 |
| 1275739930 | Diagnostic Imaging Consultants,ltd | Radiology | 215 Hawks Rd Ste 4, Martin, TN 38237 | 2007-06-21 |
| Find all providers in zip 38237 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275885832 | Janey Lynn Watts | Family Medicine | 263 Ky Route 122 Ste C, Martin, KY 41649 | 2012-10-08 |
| 1295802619 | Weber Medical Services PC | Family Medicine | 109 Pugh Street, Martin, SD 57551-0370 | 2006-11-29 |
| 1649214362 | Larry Alvin Weitzenkamp | Family Medicine | 109 Pugh St, Martin, SD 57551-0370 | 2006-06-15 |
| 1376506535 | Prem Shankar Verma | Family Medicine | 11176 Main St, Martin, KY 41649-7999 | 2006-04-10 |
| 1952378408 | Karen S.p. Eschedor | Family Medicine | 4948 Gumlog Rd, Martin, GA 30557-2921 | 2006-03-03 |
| 1801886064 | Michael John Medeck | Family Medicine | 302 1st Ave., Martin, SD 57551 | 2005-10-27 |
| 1396738266 | Kenneth W Carr | Family Medicine | 115 Mount Pelia Rd, Martin, TN 38237-3315 | 2005-08-25 |
| 1467458034 | Gopal R Majmundar | Family Medicine | 11217 Main Street, Martin, KY 41649-0828 | 2005-06-28 |
| 1447254164 | Audie B Marlar Jr. | Family Medicine | 117 Kennedy Dr, Martin, TN 38237-3309 | 2005-06-10 |
| 1528696473 | Shires Rehab LLC | Family Medicine | 180 Mount Pelia Rd, Martin, TN 38237-3812 | 2020-03-27 |
| Find all providers in MARTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.