Fayette Co Physician Organization Dba Family Practice WVMC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAYETTE CO PHYSICIAN ORGANIZATION DBA FAMILY PRACTICE WVMC

Practice address

1473 E State Road 44
Suite 2
Connersville, IN 47331-8292

Phone

(765) 825-8686

Fax

(765) 827-1918

NPI assigned

Nov 3, 2006

Last updated

Mar 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Suresh Patel, MDNPI 1548231616

Title

Managing Member

Phone

(765) 827-1903

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Suresh Patel, MD

  • Surgery Physician
  • Connersville, IN
  • NPI 1548231616
  NPD (past) Authorized official

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1972682748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 779",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473310779",
            "telephone_number": "765-825-8686",
            "fax_number": "765-827-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1473 E STATE ROAD 44",
            "address_2": "SUITE 2",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473318292",
            "telephone_number": "765-825-8686",
            "fax_number": "765-827-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTE CO PHYSICIAN ORGANIZATION DBA FAMILY PRACTICE WVMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SURESH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "765-827-1903",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faithful Seniorcare
• Family Health Services, Inc.
• Caitlin Fattore
• Fayette BHC LLC
• Fayette BHC LLC
• Fayette County Government
• Fayette County Pediatrics LLC
• Fayette County Physician Orginazation LLC (Whitewater Valley Urgent Care)
• Fayette County School Corp
• Fayette Family Practice, Inc.

• Family Medicine Physician in Connersville, IN
• Providers in Connersville, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.