William T Fannin, MD

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

License

23326 Issued in KY

Practice address

9 Flora Street
Pikeville, KY 41501

Phone

(606) 432-4183

Fax

(606) 432-4270

NPI assigned

Dec 12, 2006

Last updated

Dec 13, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Kentucky College of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Positive Recovery Solutions LLCGroup PAC ID 8224267497, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Appalachian Hospice Care Hospice, Pikeville, KY, CCN 181524

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BIBJDD

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Ek Clinic, LLC

  • Rural Health Clinic/Center
  • Morehead, KY
  • NPI 1982493763

  5% Or Greater Direct Ownership Interest, W-2 Managing Employee

  CMS ownership
• Home Care Health Services Inc

  • Home Health Agency
  • Pikeville, KY
  • NPI 1528028487

  Corporate Director

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Positive Recovery Solutions, LLC

  • General Practice Physician
  • Washington, PA
  • NPI 1235564188

  KY

  Medicare reassignment Care Compare group NPD
• Ek Clinic, LLC

  • Rural Health Clinic/Center
  • Morehead, KY
  • NPI 1982493763
  Medicare reassignment NPD
• Ek Clinic, LLC

  • Rural Health Clinic/Center
  • Morehead, KY
  • NPI 1457272650
  NPD (past) Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Appalachian Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Pikeville, KY
  • NPI 1518927334
  Care Compare affiliation

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1982764551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1358 WATERGAP RD",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416531721",
            "telephone_number": "606-432-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 FLORA STREET",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "41501",
            "telephone_number": "606-432-4183",
            "fax_number": "606-432-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANNIN",
        "first_name": "WILLIAM",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "KY23326",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "KY",
            "license": "23326",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "KY",
            "license": "23326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64233265",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlynn Joy Estevez, OD
• Susan Evans
• Brittany Ann Nicole Fairchild, DO
• Faith Pharmacy Inc (Faith Pharmacy)
• Family Eye Care Professionals, LLC
• David Farler Jr., APRN
• Breanna Farmer
• Fast Pace Kentucky PLLC (Fast Pace Health)
• Fazal and Associates PLLC
• Alexis Calynn Felber, OTR/L

• Addiction Medicine (Internal Medicine) Physician in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Addiction Medicine (Internal Medicine) Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.