William Defayette

Key facts

NPI

1962897223

Entity type

Individual (NPI type 1)

Primary specialty

General Acute Care Hospital 282N00000X

License

8295 (NC)

Practice address

3487 Fallowbrook FRST
York, SC 29745-8137

Phone

(269) 998-6335

NPI assigned

Apr 3, 2015

Sex

Male

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 3, 2015.

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428019200000",
    "number": "1962897223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3487 FALLOWBROOK FRST",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297458137",
            "telephone_number": "269-998-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3487 FALLOWBROOK FRST",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297458137",
            "telephone_number": "269-998-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFAYETTE",
        "first_name": "WILLIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-03",
        "last_updated": "2015-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NC",
            "license": "8295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, SC

• Danielle S. Ezell, DMD, PA
• Bailey Daves, RN
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• Amanda Leigh Dawkins, APRN
• Sarah Elizabeth Dean, M.S., S.S.P.
• Taylor Danielle Defreitas
• Alyssa Devane, M.S., CF-SLP
• Kara Elizabeth Lowman Dover, MS RD LD LDN
• Susan Melinda Dover, PT
• Dunlap Senior Services LLC

All providers in York, SC · General Acute Care Hospital in South Carolina