| Fpsc, Pllc | |
|
1021 Executive Dr Suite 102 Hixson TN 37343-7918 | |
| (423) 648-9808 | |
| Not Available |
| Full Name | Fpsc, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1021 Executive Dr, Hixson, Tennessee |
| Authorized Official Name and Position | Luis Alberto Gomez (MD/OWNER) |
| Authorized Official Contact | 4238002426 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fpsc, Pllc 1021 Executive Drive, Suite 102 Optional Hixson TN 37343 Ph: (423) 531-3398 | Fpsc, Pllc 1021 Executive Dr Suite 102 Hixson TN 37343-7918 Ph: (423) 648-9808 |
| NPI Number | 1841744810 |
|---|---|
| Provider Enumeration Date | 08/08/2016 |
| Last Update Date | 01/03/2024 |
| Medicare PECOS PAC ID | 0547557829 |
|---|---|
| Medicare Enrollment ID | O20160930000305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841744810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 51386 (Tennessee) | Primary |
| Provider Name | Jason H Horinouchi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528379435 PECOS PAC ID: 8729221916 Enrollment ID: I20130909000525 |
| Provider Name | Luis Gomez Vaca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902197064 PECOS PAC ID: 9133366594 Enrollment ID: I20141010001074 |
| Provider Name | Jonathan Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891282380 PECOS PAC ID: 9133475684 Enrollment ID: I20180713000600 |
| Provider Name | Cassie Ann Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962014142 PECOS PAC ID: 8325448855 Enrollment ID: I20210621001271 |
| Provider Name | Robert Breck Lang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023788635 PECOS PAC ID: 6709255490 Enrollment ID: I20221220002194 |
Mark S Sumida, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2051b Hamill Rd Ste 107, Hixson, TN 37343 Phone: 423-877-4705 | |
Liberty Healthcare Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1017 Executive Dr Ste 101, Hixson, TN 37343 Phone: 423-870-1999 | |
Healthforce Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Alpha Ln, Hixson, TN 37343 Phone: 423-870-1662 Fax: 423-877-4845 | |
Advanced Hyperbaric Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5864 Highway 153 Suite 100, Hixson, TN 37343 Phone: 423-486-0010 | |
Cardiovascular Imaging Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1017 Executive Dr, Suite 101, Hixson, TN 37343 Phone: 423-870-1999 Fax: 423-870-1977 | |
Hitchcock Family Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5104 Hixson Pike, Hixson, TN 37343 Phone: 423-763-1942 |