DR. WILLIAM KEITH FACKLER (NPI# 1245236082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245236082 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM KEITH FACKLER |
| Credential | MD |
| Practice Address |
240 Sheraton Blvd Macon GA 31210-1358 |
| Practice Telephone | 4786338700 |
| Practice Fax Number | 4786338710 |
| Mailing Telephone | 4786338702 |
| Mailing Fax Number | 4786338710 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2020-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
040830 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1014 Forsyth St, Ste 300, Macon, GA 312012025 | 4786338700 | 4786338710 |
| Street Address |
240 SHERATON BLVD |
| City | MACON |
| State | GA |
| Zip Code | 31210-1358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871842815 | Tami M Goddard | Nurse Practitioner | 240 Sheraton Blvd, Macon, GA 31210-1358 | 2012-09-06 |
| 1619281680 | Susan Meredith Debey | Nurse Practitioner | 240 Sheraton Blvd, Macon, GA 31210-1358 | 2010-08-02 |
| 1285878165 | Elizabeth Lee Lowry | Physician Assistant | 240 Sheraton Blvd, Macon, GA 31210-1358 | 2009-04-23 |
| 1235302753 | Jennifer Gwen Wood | Physician Assistant | 240 Sheraton Blvd, Macon, GA 31210-1358 | 2008-04-04 |
| 1528245784 | Jay Michael Anderson | Internal Medicine | 240 Sheraton Blvd, Macon, GA 31210-1358 | 2008-01-29 |
| 1801083811 | Colorectal Surgery Associates P C | Colon & Rectal Surgery | 240 Sheraton Blvd, Macon, GA 31210-1358 | 2007-10-03 |
| 1215097852 | Joel Roy Judah | Internal Medicine | 240 Sheraton Blvd, Macon, GA 31210-1358 | 2006-12-12 |
| 1528143377 | Daniel Eli Penn | Internal Medicine | 240 Sheraton Blvd, Macon, GA 31210-1358 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
| Find all providers in zip 31210 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760562268 | Benjamin Mays Johnston, Sr, M.d. | Internal Medicine | 900 First Street, Suite B, Macon, GA 31201-6806 | 2006-10-17 |
| 1881622561 | Douglas P Dozier Sr. | Internal Medicine | 4000 Vineville Ave, Macon, GA 31210-5038 | 2006-06-29 |
| 1891767075 | Vincent A Gibbert | Internal Medicine | 310 Hospital Dr, Suite305, Macon, GA 31217-3895 | 2006-02-02 |
| 1689659260 | Shahriar Sedghi | Internal Medicine | 610 Third Street, Ste 204, Macon, GA 31201 | 2005-12-07 |
| 1881675700 | Raymond Bradley Bedgood | Internal Medicine | 610 3rd St Ste 202, Macon, GA 31201-3262 | 2005-11-08 |
| 1629073978 | Brenda Gail Cooper | Internal Medicine | 6501 Peake Rd, Ste 900, Macon, GA 31210-8051 | 2005-06-14 |
| 1114401486 | Davey R. Deal, Jr., M.d., LLC | Internal Medicine | 310 Hospital Dr Ste 305, Macon, GA 31217-8030 | 2018-09-21 |
| 1568616498 | Roxana Maria Coman | Internal Medicine | 777 Hemlock St, Macon, GA 31201-2102 | 2008-11-05 |
| 1528245784 | Jay Michael Anderson | Internal Medicine | 240 Sheraton Blvd, Macon, GA 31210-1358 | 2008-01-29 |
| 1851504989 | Adam H Levy | Internal Medicine | 610 3rd St, Macon, GA 31201-3294 | 2007-05-07 |
| Find all providers in MACON | ||||
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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.