Individual provider Active NPI

William Murray Fesmire, MD

  • Pediatrics Physician
  • Collierville, TN
National Provider Identifier
1194737676
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
16961 Issued in TN
Practice address
120 Crescent Dr
Collierville, TN 38017-3374
Phone
(901) 757-3560
Fax
(901) 757-3563
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 16961 TN Primary

Addresses

Primary practice location

120 Crescent Dr
Collierville, TN 38017-3374

Mailing address

8110 Walnut Run Rd
Cordova, TN 38018-6362
Phone (901) 757-3550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16961TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrics East Inc Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: wfesmire34925@mlh.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194737676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 WALNUT RUN RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186362",
            "telephone_number": "901-757-3550",
            "fax_number": "901-757-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CRESCENT DR",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380173374",
            "telephone_number": "901-757-3560",
            "fax_number": "901-757-3563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FESMIRE",
        "first_name": "WILLIAM",
        "middle_name": "MURRAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "16961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.