Organization Active NPI

William J. Hanshaw, M.D., P.C.

  • Dermatology Physician
  • Quincy, IL
National Provider Identifier
1013122167
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
WILLIAM J. HANSHAW, M.D., P.C.
Practice address
903 Vermont St
Quincy, IL 62301-3049
Phone
(217) 228-0090
Fax
(217) 228-9464
NPI assigned
May 11, 2007
Last updated
Jan 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Authorized official

Name
Dr. William J Hanshaw, M.D.
Title
Physician
Phone
(217) 228-0090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X IL Primary

Addresses

Primary practice location

903 Vermont St
Quincy, IL 62301-3049

Mailing address

903 Vermont St
Quincy, IL 62301-3049
Phone (217) 228-0090

Other identifiers 2

IdentifierTypeStateIssuer
104600OtherILHEALTHLINK
100272OtherILBLUE CROSS BLUE SHIELD ID

National Provider Directory

National Provider Directory

Locations

903 Vermont St
Quincy, IL 62301
Phone (217) 228-0090

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1013122167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 VERMONT ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013049",
            "telephone_number": "217-228-0090",
            "fax_number": "217-228-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 VERMONT ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013049",
            "telephone_number": "217-228-0090",
            "fax_number": "217-228-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J. HANSHAW, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "HANSHAW",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "217-228-0090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "104600",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "100272",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.