William Jackson Defee III, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

011645 Issued in LA

Practice address

5507 Shreveport Hwy
Pineville, LA 71360-3533

Phone

(318) 640-7847

Fax

(318) 640-7108

NPI assigned

Jun 29, 2006

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

Other identifiers 1

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.

• Advantage Home Health Care, Inc.

  • Home Health Agency
  • Minden, LA
  • NPI 1487625455
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295763928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1390",
            "city": "TIOGA",
            "state": "LA",
            "postal_code": "714771390",
            "telephone_number": "318-640-7847",
            "fax_number": "318-640-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5507 SHREVEPORT HWY",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713603533",
            "telephone_number": "318-640-7847",
            "fax_number": "318-640-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFEE",
        "first_name": "WILLIAM",
        "middle_name": "JACKSON",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "011645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1118907",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karleigh Elizabeth Davidson
• Dayna Davis, LMT
• Hunter Dean
• Georena Dearborne Bynog, MSW, LCSW
• Qurshea Decoste
• Daphne Del Valle, MD
• Delavallade House of Pineville, LLC
• Amber Tullis Deloach, NP
• Whitney Risner Deloach, FNP-C
• Dental Sleep Medicine Associates, LLC

• Family Medicine Physician in Pineville, LA
• Providers in Pineville, LA by specialty
• Family Medicine Physician in Louisiana

• 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.