Joseph C Fesperman, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

21773 Issued in NC

Practice address

1534 West D Street
N Wilkesboro, NC 28659

Phone

(336) 716-2255

Fax

(336) 667-0938

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wake Forest University Health Sciences

  • Multi-Specialty Clinic/Center
  • Winston Salem, NC
  • NPI 1003803032
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286496000000",
    "number": "1144330879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 344",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271020344",
            "telephone_number": "336-716-2255",
            "fax_number": "336-667-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 WEST D STREET",
            "city": "N WILKESBORO",
            "state": "NC",
            "postal_code": "28659",
            "telephone_number": "336-716-2255",
            "fax_number": "336-667-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FESPERMAN",
        "first_name": "JOSEPH",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "21773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE, INDIVIDUAL PTAN",
            "identifier": "206266J",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8931753",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daymark Recovery Services Inc
• Daymark Recovery Services Inc
• Donlin Group, Inc. (DonLin Counseling Services)
• Joanna Eller
• Gregory Francis Felix Evans, M.D.
• Greenway Healthcare, PLLC
• Thomas H Grote, MD
• Chris D Gyoerkoe, LCMHC
• Kenny Dewayne Hefner, MD
• Jeffrey Waren Hinshaw, PAC

• Family Medicine Physician in N Wilkesboro, NC
• Providers in N Wilkesboro, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.