Active NPI
William Jeffery Fought, PA-C
- Physician Assistant
- Springfield, PA
National Provider Identifier
1659332930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- OA-000074-L
- Practice address
- 417 Baltimore Pike
Springfield, PA 19064-3810 - Phone
- (484) 470-2600
- NPI assigned
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | OA-000074-L | PA | Primary |
Addresses
Primary practice location
417 Baltimore Pike
Springfield, PA 19064-3810
Mailing address
5000 Cox Rd
Glen Allen, VA 23060-9263
Phone (804) 868-5700
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OA-000074-L | PA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522195200000",
"number": "1659332930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 COX RD",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230609263",
"telephone_number": "804-868-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 BALTIMORE PIKE",
"city": "SPRINGFIELD",
"state": "PA",
"postal_code": "190643810",
"telephone_number": "484-470-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOUGHT",
"first_name": "WILLIAM",
"middle_name": "JEFFERY",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2018-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "OA-000074-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.