NPIMap

Organization Active NPI

William a. Fawcett, IV, MD

  • Allergy Physician
  • Beaumont, TX
National Provider Identifier
1902090434
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
F0998 Issued in TX
Legal business name
WILLIAM A. FAWCETT, IV, MD
Practice address
2965 Harrison St Ste 315
Beaumont, TX 77702-1150
Phone
(409) 892-7090
Fax
(409) 892-4324
NPI assigned
Aug 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Authorized official

Name
Dr. William Arthur Fawcett IV, MD
Title
Physician
Phone
(409) 892-7090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X F0998 TX Primary

Addresses

Primary practice location

2965 Harrison St Ste 315
Beaumont, TX 77702-1150

Mailing address

2965 Harrison St Ste 315
Beaumont, TX 77702-1150
Phone (409) 892-7090

Other identifiers 1

IdentifierTypeStateIssuer
147396901MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1902090434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 HARRISON ST STE 315",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021150",
            "telephone_number": "409-892-7090",
            "fax_number": "409-892-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 HARRISON ST STE 315",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021150",
            "telephone_number": "409-892-7090",
            "fax_number": "409-892-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM A. FAWCETT, IV, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "409-892-7090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "TX",
            "license": "F0998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147396901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.