MR. WILLIAM T FANNIN (NPI# 1982764551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982764551 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM T FANNIN |
| Credential | MD |
| Practice Address |
9 Flora Street Pikeville KY 41501 |
| Mailing Address |
1358 Watergap Rd Prestonsburg KY 41653-1721 |
| Practice Telephone | 6064324183 |
| Practice Fax Number | 6064324270 |
| Mailing Telephone | 6064324183 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2019-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | KY23326 | KY | Allopathic & Osteopathic Physicians |
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
23326 | KY | Allopathic & Osteopathic Physicians |
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
23326 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64233265 | 05 |
| Street Address |
9 FLORA STREET |
| City | PIKEVILLE |
| State | KY |
| Zip Code | 41501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740362938 | Ronald F Mann | Family Medicine | 9 Flora Street, Pikeville, KY 41501 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720634 | Lauren Ann Thacker | Nurse Practitioner | 648 Stonehenge Drive, Pikeville, KY 41501 | 2020-11-03 |
| 1659933406 | Wesley Tyler Rowe | Pharmacist | 553 Hambley Boulevard, Suite 6, Pikeville, KY 41501 | 2019-07-02 |
| 1275096489 | Eric Taejun Kim | Student in an Organized Health Care Education/Training Program | 184 South Mayo Trail, Pikeville, KY 41501 | 2019-04-13 |
| 1245755206 | Paula Renee Belcher | Nurse Practitioner | 5724 E Shelbiana Road, Pikeville, KY 41501 | 2017-08-10 |
| 1174044390 | Jessie C Deffendall | Dentist | 220 Cassidy Blvd, Pikeville, KY 41501 | 2017-06-28 |
| 1942667456 | Crossroads Addiction Recovery Effort, LLC | Family Medicine | 484 Tollage Crk, Pikeville, KY 41501 | 2016-01-28 |
| 1265836183 | Rebecca Leann Roberts | Pharmacist | 259 Bear Rd, Pikeville, KY 41501 | 2014-10-21 |
| 1306253190 | Ginger Webb Aprn | Clinic/Center | 153 Weddington Branch Rd., Pikeville, KY 41501 | 2014-07-14 |
| 1710323894 | Bhg Xxv, LLC | Case Management | 368 South Mayo Trail, Pikeville, KY 41501 | 2013-05-16 |
| 1740624220 | Sunrise Children's Services, Inc. | Foster Care Agency | 123 Weddington Branch Road, Pikeville, KY 41501 | 2013-04-26 |
| Find all providers in zip 41501 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508254087 | Asap Addiction Treatment LLC | Internal Medicine | 400 Venters Ln, Pikeville, KY 41501-3016 | 2015-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671637 | Discover Recovery, LLC | Internal Medicine | 2413 Ring Rd Ste 122, Elizabethtown, KY 42701-5936 | 2020-02-14 |
| 1033618897 | Lotus Rehab LLC | Internal Medicine | 104 Hardin Ln Ste B, Somerset, KY 42503-3800 | 2018-02-07 |
| 1396265989 | Kentucky Ohanna Initiative, Inc | Internal Medicine | 1795 Alysheba Way Ste 1001, Lexington, KY 40509-2282 | 2017-06-23 |
| 1538600630 | Cleanslate Medical Group of Kentucky Pllc | Internal Medicine | 210 E Gray St Ste 803, Louisville, KY 40202-3904 | 2017-03-09 |
| 1083093207 | Mat Prac Group, LLC | Internal Medicine | 204 S Floyd St, Box 8, Louisville, KY 40202-1208 | 2015-05-20 |
| 1194140772 | Stephanie Prater Walton | Internal Medicine | 14607 Woodlake Trce, Louisville, KY 40245-5134 | 2014-02-19 |
| 1457580003 | Thomas William Howard, IIi | Internal Medicine | 135 E Maxwell St Ste 401, Lexington, KY 40508-2617 | 2009-07-03 |
| 1477562536 | Sanjiv Gupta M.d. P.s.c. | Internal Medicine | 300 St Hwy 1947, Suite A, Grayson, KY 41143-1947 | 2006-08-07 |
| 1578533766 | Marvin A Bishop | Internal Medicine | 218 S Maple St, Winchester, KY 40391-2494 | 2006-01-23 |
| 1700870078 | Joanna L Santiesteban | Internal Medicine | 842 E Mountain Pkwy, Salyersville, KY 41465 | 2005-09-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.