William Nicholson Ainsworth IV MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME0047518 Issued in FL

Legal business name

WILLIAM NICHOLSON AINSWORTH IV MD

Practice address

6121 Crill Ave
Palatka, FL 32177-3875

Phone

(386) 328-8856

Fax

(386) 328-7646

NPI assigned

Dec 11, 2014

Organization subpart

No

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

Authorized official

Name

Dr. William Nicholson Ainsworth IV, M.D.NPI 1336188192

Title

Owner

Phone

(386) 328-8856

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Nicholson Ainsworth IV, MD

  • Ophthalmology Physician
  • Palatka, FL
  • NPI 1336188192
  NPD (past) Authorized official

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418256000000",
    "number": "1033517784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 CRILL AVE",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773875",
            "telephone_number": "386-328-8856",
            "fax_number": "386-328-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 CRILL AVE",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773875",
            "telephone_number": "386-328-8856",
            "fax_number": "386-328-7646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM NICHOLSON AINSWORTH IV MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-11",
        "last_updated": "2014-12-11",
        "status": "A",
        "authorized_official_last_name": "AINSWORTH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "NICHOLSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-328-8856",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0047518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043732800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renea Whitmore, LMT
• Suzanne M Wilbur, D.M.D,P.A.
• Drew Wilburn, DMD
• Deanna Wilkinson
• William J Hale
• Dave Anthony Williams, M.D., M.P.H.
• Jonell Williams, PT, DPT
• Richard Okyere Williams, DMD
• Ronnetta Williams, PHD
• Tammaliah Williams, RN

• Ophthalmology Physician in Palatka, FL
• Providers in Palatka, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.