Active NPI
Fayette Family Practice, Inc.
- Family Medicine Physician
- Connersville, IN
National Provider Identifier
1982934642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01027130
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01027130A | IN | |
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200993720A | Medicaid | IN |
Other names 1
- William A. Nesbitt, MD
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
- Fayette Co Physician Organization Dba Family Practice WVMC
- Fayette County Government
- Fayette County Pediatrics LLC
- Fayette County Physician Orginazation LLC (Whitewater Valley Urgent Care)
- Fayette County School Corp
- Fayette Memorial Hospital Assoc (FMH Ambulance)
- Fayette Memorial Hospital Assoc Inc (Connersville Immediate Care)
- Fayette Memorial Hospital Assoc Inc (FMH Durable Medical Equipment)
- Fayette Memorial Hospital Association Inc (Fayette Regional Care Pavillion)
- Fayette Memorial Hospital Association Inc (Fayette Regional Health System Home Health)
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.