Individual provider Active NPI

William Blake Huntington

  • Gastroenterology Physician
  • Media, PA
National Provider Identifier
1033479704
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
OS018667 Issued in PA
Practice address
1088 W Baltimore Pike Ste 2407
Media, PA 19063
Phone
(610) 565-1808
NPI assigned
May 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X OS018667 PA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1088 W Baltimore Pike Ste 2407
Media, PA 19063

Mailing address

PO Box 350
Sellersville, PA 18960-0350
Phone (215) 723-2333

Other practice location 1

325 Central Ave Ste 200
Malvern, PA 19355-3265
Phone (610) 644-6755

Other names 1

  • Will Huntington Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20180622000095 PA Practitioner - Gastroenterology 7416202064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Philadelphia College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Gastroenterology Associates of Lancaster, LTD.Group PAC ID 4688575434, 248 clinicians

Practice addresses (Care Compare)

1088 W Baltimore Pike HCC II
2 Main Line Gastroenterology Associates PC
Media, PA 19063-5136
Phone (610) 565-1808

1991 Sproul Rd
Suite 230
Broomall, PA 19008-3518
Phone (610) 644-6755

2112 Harrisburg Pike
Suite 202
Lancaster, PA 17601-2644
Phone (717) 869-4600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy190
Upper gastrointestinal (GI) endoscopy for acid reflux172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Midatlantic Endoscopy LLC Current Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Jul 1, 2019 Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. Gastroenterology CurrentSince Jul 1, 2019 Accepting new patients
Rgal Anesthesia Services LLC Past Accepting new patients

Locations

1991 Sproul Rd
Ste 230
Broomall, PA 19008
Phone (610) 449-1525

1991 Sproul Rd
Ste 240
Broomall, PA 19008
Phone (610) 229-9373

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

650 Carnegie Blvd
Ste 100
Malvern, PA 19355

325 Central Ave
Ste 200
Malvern, PA 19355

325 Central Ave
Fl 2
Malvern, PA 19355

1088 W Baltimore Pike
Ste 2407
Media, PA 19063
Phone (610) 521-2008

1068 W Baltimore Pike
Media, PA 19063
Phone (610) 566-9400

100 E Lancaster Ave
Ste 252
Wynnewood, PA 19096
Phone (610) 896-7360

Interoperability endpoints

  • Direct secure messaging: william.huntington@mlga.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1033479704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 350",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189600350",
            "telephone_number": "215-723-2333",
            "fax_number": "215-257-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 W BALTIMORE PIKE STE 2407",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "19063",
            "telephone_number": "610-565-1808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 Central Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Malvern",
            "state": "PA",
            "postal_code": "193553265",
            "country_code": "US",
            "telephone_number": "610-644-6755",
            "fax_number": "610-647-2063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNTINGTON",
        "first_name": "WILLIAM",
        "middle_name": "BLAKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-29",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "OS018667",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILL",
            "last_name": "HUNTINGTON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.