William T Amos III, MD
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Kettering, OH
NPI 1063523710 · NPPES record last updated May 3, 2017
Key facts
- NPI
- 1063523710
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- 01065498A (IN)
- Practice address
- 4735 Walther Cir
Kettering, OH 45429-1973 - Phone
- (937) 307-4239
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01065498A | IN | MD | Anatomic Pathology & Clinical Pathology Physician |
| 35031078 | OH | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reid Hospital & Health Care Services Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 01065498A | IN | Yes |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 35031078 | OH |
Addresses
Primary practice location
4735 Walther Cir
Kettering, OH 45429-1973
Mailing address
4735 Walther Cir
Kettering, OH 45429-1973
Phone (937) 307-4239
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000341375 | Other | OH | ANTHEM PROVIDER |
| 05602145 | Medicaid | OH | |
| 201050440 | Medicaid | IN | |
| 000000752088 | Other | ANTHEM (REID) |
Other providers in Kettering, OH
- Siva Ambalavanan
- Ashlee Rae Ames
- Donald William Ames
- Carol A Amfahr
- Paul Amiott
- Amy B. Townley DC., Inc.
- Anca Udrea MD, LTD
- Anchor & Arrow Therapy and Wellness for Kids
- Gary L Anderson
- Lilly T Anderson
All providers in Kettering, OH · Anatomic Pathology & Clinical Pathology Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.