Individual provider Active NPI

William E. Palin Jr., M.D.

  • Plastic Surgery Physician
  • Neptune Beach, FL
National Provider Identifier
1033227707
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME101653 Issued in FL
Practice address
700 3Rd St
Suite 303
Neptune Beach, FL 32266-5072
Phone
(904) 247-0148
Fax
(904) 247-0574
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X ME101653 FL Primary

Addresses

Primary practice location

700 3Rd St
Suite 303
Neptune Beach, FL 32266-5072

Mailing address

700 3RST Street
Suite 303
Neptune Beach, FL 32266
Phone (904) 247-0148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090402000599 FL Practitioner - Family PracticePractitioner - Plastic and Reconstructive SurgeryPractitioner - Hand SurgeryPractitioner - Peripheral Vascular DiseasePractitioner - Maxillofacial Surgery 7416004767 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Post Acute Care Clinicians, LLC CurrentSince Feb 29, 2016 Accepting new patients
Florida Post Acute Care Clinicians, LLC CurrentSince Feb 29, 2016 Accepting new patients
Physicians Group Services PA Past Accepting new patients

Locations

5888 Blanding Blvd
Jacksonville, FL 32244
Phone (904) 612-7385

1780 N Jefferson Hwy
Monticello, FL 32344
Phone (800) 708-4008

1800 NE 168th St
North Miami Beach, FL 33162
Phone (305) 917-1800

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419206400000",
    "number": "1033227707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 3RST STREET",
            "address_2": "SUITE 303",
            "city": "NEPTUNE BEACH",
            "state": "FL",
            "postal_code": "32266",
            "telephone_number": "904-247-0148",
            "fax_number": "904-247-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 3RD ST",
            "address_2": "SUITE 303",
            "city": "NEPTUNE BEACH",
            "state": "FL",
            "postal_code": "322665072",
            "telephone_number": "904-247-0148",
            "fax_number": "904-247-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALIN",
        "first_name": "WILLIAM",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2014-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME101653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune Beach, FL

Sources for this page

Verify at the official NPI Registry.