Individual provider Active NPI

William Kohler

  • Medical Physician Assistant
  • Loudonville, NY
National Provider Identifier
1003990946
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
003568 Issued in NY
Practice address
407 Albany Shaker Rd
Loudonville, NY 12211-1900
Phone
(518) 435-1300
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 003568 NY Primary

Addresses

Primary practice location

407 Albany Shaker Rd
Loudonville, NY 12211-1900

Mailing address

3 Corporate Dr
Ste 100
Halfmoon, NY 12065-8635
Phone (518) 348-1276

Other identifiers 1

IdentifierTypeStateIssuer
02341142MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oldendorf Medical Services, PLLC CurrentSince Dec 22, 2019 Accepting new patients
Saratoga Regional Medical , P.C PastSince Aug 6, 2019 Accepting new patients
Emergency Medicine Physicians of Albany County, PLLC Past Accepting new patients

Locations

407 Albany Shaker Rd
Loudonville, NY 12211
Phone (518) 435-1280

407 Albany Shaker Rd
Ste 100
Loudonville, NY 12211
Phone (518) 435-1300

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1003990946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CORPORATE DR",
            "address_2": "STE 100",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "120658635",
            "telephone_number": "518-348-1276",
            "fax_number": "518-383-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 ALBANY SHAKER RD",
            "city": "LOUDONVILLE",
            "state": "NY",
            "postal_code": "122111900",
            "telephone_number": "518-435-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLER",
        "first_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "003568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02341142",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loudonville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.