Organization Active NPI

Fayette Family Practice, Inc.

  • Family Medicine Physician
  • Connersville, IN
National Provider Identifier
1982934642
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01027130 Issued in IN
Legal business name
FAYETTE FAMILY PRACTICE, INC.
Practice address
1550 E State Road 44
Connersville, IN 47331-8293
Phone
(765) 827-1800
Fax
(765) 827-1816
NPI assigned
Dec 31, 2009
Organization subpart
Yes
Parent organization
FAYETTE FAMILY PRACTICE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Authorized official

Name
Dr. William A Nesbitt, M.D.
Title
Owner
Phone
(765) 827-1800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 01027130A IN
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 01027130 IN Primary

Addresses

Primary practice location

1550 E State Road 44
Connersville, IN 47331-8293

Mailing address

1550 E State Road 44
Connersville, IN 47331-8293
Phone (765) 827-1800

Other identifiers 1

IdentifierTypeStateIssuer
200993720AMedicaidIN

Other names 1

  • William A. Nesbitt, MD Other name

National Provider Directory

National Provider Directory
Part of
Fayette Family Practice Inc

Locations

1473 E State Road 44
Connersville, IN 47331
Phone (765) 825-0511

NPI Registry JSON

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1982934642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 E STATE ROAD 44",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473318293",
            "telephone_number": "765-827-1800",
            "fax_number": "765-827-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 E STATE ROAD 44",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473318293",
            "telephone_number": "765-827-1800",
            "fax_number": "765-827-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTE FAMILY PRACTICE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAYETTE FAMILY PRACTICE, INC.",
        "enumeration_date": "2009-12-31",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "NESBITT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-827-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01027130A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01027130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200993720A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "William A. Nesbitt, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Connersville, IN

Sources for this page

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