WILLIAM LEO FANGMAN (NPI# 1851404859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851404859 |
| Entity Type | Individual |
| Full Name | WILLIAM LEO FANGMAN |
| Credential | MD |
| Practice Address |
959 Cox Rd Gastonia NC 28054-3420 |
| Mailing Address |
1072 X Ray Dr Gastonia NC 28054-7498 |
| Practice Telephone | 7048667576 |
| Practice Fax Number | 7048660106 |
| Mailing Telephone | 7046911074 |
| Mailing Fax Number | 7046711095 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2019-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | ME100630 | FL | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | 200201075 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5904546 | 05 | |
| DEA | BF9759955 | 01 | |
| FL | 280314300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457611931 | William Paul Fangman | Emergency Medicine | 1825 Logan Ave, Waterloo, IA 50703 | 2012-05-18 |
| Street Address |
959 COX RD |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-3420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144221722 | Daniel Thomas Ness | Plastic Surgery | 959 Cox Rd, Gastonia, NC 28054-3420 | 2005-08-09 |
| 1184003006 | Parteek Singla | Dermatology | 959 Cox Rd, Gastonia, NC 28054-3420 | 2015-05-26 |
| 1528363264 | Heather Holley Corbin | Physician Assistant | 959 Cox Rd, Gastonia, NC 28054-3420 | 2011-01-11 |
| 1760611438 | Joshua Graham Porter | Dermatology | 959 Cox Rd, Gastonia, NC 28054-3420 | 2009-07-02 |
| 1508028093 | Jaime J Vanourny | Dermatology | 959 Cox Rd, Gastonia, NC 28054-3420 | 2008-06-26 |
| 1245498443 | Parag Butala | Plastic Surgery | 959 Cox Rd, Gastonia, NC 28054-3420 | 2008-05-26 |
| 1578777017 | Kristen B Higgins | Dermatology | 959 Cox Rd, Gastonia, NC 28054-3420 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
| 1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
| 1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
| 1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
| 1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
| 1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
| 1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
| 1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
| 1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
| 1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
| Find all providers in zip 28054 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801832837 | Piedmont Plastic Surgery & Dermatology Pa | Dermatology | 1072 X Ray Dr Ste B, Gastonia, NC 28054-7488 | 2006-06-20 |
| 1710961263 | Gaston Dermatology Clinic P.a. | Dermatology | 1072 X Ray Dr, Suite A, Gastonia, NC 28054-7488 | 2005-11-29 |
| 1184003006 | Parteek Singla | Dermatology | 959 Cox Rd, Gastonia, NC 28054-3420 | 2015-05-26 |
| 1982030466 | Caromont Medical Group, Inc. | Dermatology | 2391 Court Dr, Suite 120c, Gastonia, NC 28054-2196 | 2013-09-17 |
| 1760611438 | Joshua Graham Porter | Dermatology | 959 Cox Rd, Gastonia, NC 28054-3420 | 2009-07-02 |
| 1215180245 | North Carolina Dermatology & Laser Clinic, Pllc | Dermatology | 640 Summit Crossing Pl, Suite 204, Gastonia, NC 28054-2138 | 2008-11-04 |
| 1528221272 | Ashley M Walker | Dermatology | 2391 Court Dr, Suite 120c, Gastonia, NC 28054-2196 | 2008-07-02 |
| 1508028093 | Jaime J Vanourny | Dermatology | 959 Cox Rd, Gastonia, NC 28054-3420 | 2008-06-26 |
| 1578777017 | Kristen B Higgins | Dermatology | 959 Cox Rd, Gastonia, NC 28054-3420 | 2007-05-10 |
| 1093828378 | Roberta J Hawk | Dermatology | 649 N New Hope Rd, Gastonia, NC 28054-7424 | 2006-08-17 |
| Find all providers in GASTONIA | ||||
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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.