William Ernest Faught Jr., SA-C

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Practice address

4320 E Presidio St Ste 101
Mesa, AZ 85215-1165

Phone

(804) 337-4530

NPI assigned

Dec 3, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1194960245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 E EAGLE DR UNIT 20730",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852773031",
            "telephone_number": "804-337-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 E PRESIDIO ST STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852151165",
            "telephone_number": "804-337-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUGHT",
        "first_name": "WILLIAM",
        "middle_name": "ERNEST",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-03",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Fastenberg, MD
• Fatima Health LLC
• Fatima Pharmacy, LLC
• Olubadewa Fatunde, MD
• Dwight Faught, DNP, RN. PMHNP-BC
• Kenzie Fauset, DPT
• Dean C Faust, D.O.
• Stepanie Faust, LAC
• Elisa M Faybush, M.D.
• Hugo Fazz, M.D.

• Surgical Assistant in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Surgical Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.