FAST PACE MEDICAL CLINIC PLLC (NPI# 1649770769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649770769 |
| Entity Type | Organization |
| Organization Name | FAST PACE MEDICAL CLINIC PLLC |
| Practice Address |
4152 W State Road Hanover IN 47243 |
| Mailing Address |
Po Box 1258 Waynesboro TN 38485-1258 |
| Practice Telephone | 9312531110 |
| Practice Fax Number | 9317229919 |
| Mailing Telephone | 9312531110 |
| Mailing Fax Number | 9317229919 |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2020-09-01 |
| Authorized Official Name | ROBERT BENSON (COO) |
| Authorized Official Telephone | 9312531110 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300036022 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639679913 | Fast Pace Medical Clinic Pllc | Family Medicine | 2401 Decherd Blvd, Winchester, TN 37398-1164 | 2018-02-13 |
| 1134452865 | Fast Pace Medical Clinic Pllc | Clinic/Center | 100 E Tennessee St, Collinwood, TN 38450 | 2009-09-14 |
| 1073014643 | Fast Pace Medical Clinic Pllc | Family Medicine | 101 W Broad St, Smithville, TN 37166-1915 | 2018-02-28 |
| 1952801334 | Fast Pace Medical Clinic Pllc | Family Medicine | 101 W Broad St, Smithville, TN 37166-1915 | 2018-02-13 |
| 1639679962 | Fast Pace Medical Clinic Pllc | Clinic/Center | 416 N Seminary St Ste 1100, Florence, AL 35630-6411 | 2018-02-13 |
| 1154791812 | Fast Pace Medical Clinic Pllc | Family Medicine | 301 W Main St, Waverly, TN 37185-1512 | 2015-10-06 |
| Street Address |
4152 W STATE ROAD |
| City | HANOVER |
| State | IN |
| Zip Code | 47243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972912376 | Laura Sparks | Nurse Practitioner | 4152 West State Road 56, Hanover, IN 47243 | 2014-08-11 |
| 1376638478 | The Bethany Circle of Kings Daughters of Madison Indiana Inc | Durable Medical Equipment & Medical Supplies | 36 Medical Plaza, Hanover, IN 47243 | 2006-10-04 |
| 1912510306 | Suzanna M Schaefer | Nurse Practitioner | 4152 West State Road 56, Hanover, IN 47243 | 2020-08-26 |
| 1750311809 | Laura H Nutter | Family Medicine | 36 Medical Plz, Hanover, IN 47243 | 2006-07-04 |
| 1184790180 | Barbara A Ford | Occupational Therapist | 2982 S River Bluff Dr, Hanover, IN 47243-8205 | 2006-11-28 |
| 1326355728 | Bonita Petersen | Speech-Language Pathologist | 4571 W Chain Mill Ct, Hanover, IN 47243-9173 | 2010-09-07 |
| 1396295259 | Amanda Chandler | Midwife | 2325 S Hanover Saluda Rd, Hanover, IN 47243-9196 | 2016-10-04 |
| 1912488537 | Community Birth Group | Clinic/Center | 2325 S Hanover Saluda Rd, Hanover, IN 47243-9196 | 2018-08-22 |
| 1013498633 | Private Healthcare Facilities | Clinic/Center | 2325 S Hanover Saluda Rd, Hanover, IN 47243-9196 | 2018-08-22 |
| 1225542715 | National Birth Centers Inc | Clinic/Center | 2325 S Hanover Saluda Rd, Hanover, IN 47243-9196 | 2017-11-21 |
| Find all providers in zip 47243 | ||||
| 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 |
|---|---|---|---|---|
| 1922572759 | Heather Ann Hamme | Family Medicine | 250 Fame Ave Ste 200, Hanover, PA 17331-1587 | 2019-01-15 |
| 1972081750 | Pinnacle Health Medical Services | Family Medicine | 507 E Middle St, Hanover, PA 17331-2028 | 2018-08-02 |
| 1811475692 | Pinnacle Health Medical Services | Family Medicine | 310 Stock St Ste 4, Hanover, PA 17331-2276 | 2018-08-02 |
| 1164862801 | Bryan R Hess | Family Medicine | 250 Fame Ave Ste 206a, Hanover, PA 17331-1587 | 2013-06-26 |
| 1689916637 | John Mario Levri | Family Medicine | 1404 Baltimore St Ste 4, Hanover, PA 17331-8698 | 2013-03-17 |
| 1013264589 | Nina Eshaghi | Family Medicine | 2201 Brunswick Dr Ste 1300, Hanover, PA 17331-8350 | 2012-08-14 |
| 1063574457 | Surender Singh | Family Medicine | 1399 Washington St, Hanover, MA 02334 | 2006-12-14 |
| 1639199763 | Joel Steven Lazar | Family Medicine | 7 Allen St, Hanover, NH 03755-2065 | 2006-07-20 |
| 1477572832 | Donald Owen Kollisch | Family Medicine | 93 E Wheelock St, Hanover, NH 03755-1605 | 2006-07-18 |
| 1942266598 | Harry Kern Wisner | Family Medicine | 126 Lyme Rd, Hanover, NH 03755-6600 | 2006-04-24 |
| Find all providers in HANOVER | ||||
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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.