NPIMap

Individual provider Active NPI

William Stanley Fenton, MD

  • Family Medicine Physician
  • Hamilton, OH
National Provider Identifier
1497819304
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
63739 Issued in OH
Practice address
4125 Hamilton Middletown Rd
Hamilton, OH 45011-2262
Phone
(513) 863-6222
Fax
(513) 863-6478
NPI assigned
Dec 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 63739 OH Primary

Addresses

Primary practice location

4125 Hamilton Middletown Rd
Hamilton, OH 45011-2262

Mailing address

PO Box 637676
Cincinnati, OH 45263-7676
Phone (513) 569-6117

Other identifiers 1

IdentifierTypeStateIssuer
0978376MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100512000187 OH Practitioner - Family Practice 3971537036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth G LLCGroup PAC ID 0749222651, 294 clinicians

Practice addresses (Care Compare)

3145 Hamilton Mason Rd
Suite 300
Fairfield Township, OH 45011-8556
Phone (513) 863-6222

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
63739OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G LLC Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
Trihealth G, LLC CurrentSince Jan 1, 2016 Accepting new patients
Thomas J. Willke MD, Inc Family Medicine Past Accepting new patients
Trihealth G LLC Family Medicine Past Accepting new patients

Locations

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

425 Farrell Ct
Cincinnati, OH 45233
Phone (513) 451-6871

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

3145 Hamilton Mason Rd
Ste 300
Fairfield Township, OH 45011
Phone (513) 863-6222

3145 Hamilton Mason Rd
Ste 200A
Fairfield Township, OH 45011
Phone (513) 863-6222

5861 Cinema Dr
Milford, OH 45150
Phone (513) 248-8800

Interoperability endpoints

  • Direct secure messaging: wfenton37608@direct.trihealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1497819304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637676",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452637676",
            "telephone_number": "513-569-6117",
            "fax_number": "513-569-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 HAMILTON MIDDLETOWN RD",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450112262",
            "telephone_number": "513-863-6222",
            "fax_number": "513-863-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENTON",
        "first_name": "WILLIAM",
        "middle_name": "STANLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "63739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0978376",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.