David G Fanney, DO PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS0005960 Issued in FL

Legal business name

DAVID G FANNEY, DO PA

Practice address

4241 NW American LN
Lake City, FL 32055-4881

Phone

(386) 752-2246

Fax

(386) 758-7998

NPI assigned

Aug 19, 2011

Organization subpart

No

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

Authorized official

Name

Dr. David Grafton Fanney, D.O.

Title

Prisident

Phone

(386) 752-2246

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1891075032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 NW AMERICAN LN",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554881",
            "telephone_number": "386-752-2246",
            "fax_number": "386-758-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 NW AMERICAN LN",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554881",
            "telephone_number": "386-752-2246",
            "fax_number": "386-758-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID G FANNEY, DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "FANNEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GRAFTON",
        "authorized_official_title_or_position": "PRISIDENT",
        "authorized_official_telephone_number": "386-752-2246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS0005960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051724100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Olivia Daniels
• Yen Margaret Dao Barnes
• Danielle F Darling, PTA
• David C Terrell Jr Arnp, PA
• David F Randolph DMD PA
• Tracie Lynn David-Dean, RN, BSN
• Andrea Lechele Davis
• Cynthia Suzanne Davis, PTA
• Jennifer Ashley Davis, MSW, LCSW
• Moriole C Davis I

• Family Medicine Physician in Lake City, FL
• Providers in Lake City, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.