Panhandle Pediatric Group P A

LBN: Fmc Medical Foundation, Inc
Panhandle Pediatric Group P A is an health care organization with primary practice located at 1500 S Coulter St Ste 1 , Amarillo TX 79106-1787. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Fmc Medical Foundation, Inc can be contacted via phone (806) 354-0404, or through Feemster, Stefanie via phone (806) 358-9400.

Contact Information

Primary practice address
1500 S Coulter St Ste 1 Amarillo TX 79106-1787
Phone: (806) 354-0404
Fax: (806) 354-2810
Website:
Map and Directions
Authorized official contact:
Name: Feemster, Stefanie
Phone: (806) 358-9400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1003825852
LBN Legal business name Fmc Medical Foundation, Inc
DBA Doing business as Panhandle Pediatric Group P A
Authorized official Feemster, Stefanie
Entity Organization
Organization subpart 1 No
Enumeration date Aug 7th, 2006
Last updated Dec 19th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003825852 NPPES
Texas MEDICAID 081138203
Texas MEDICAID 134071303
Texas MEDICAID 081138202
Texas MEDICAID 081138201 TERM 12/16
Texas Other 0077BM

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