Individual provider Active NPI

William Louis Wardell, DO

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Tarboro, NC
National Provider Identifier
1063974319
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
2026-04253 Issued in NC
Practice address
2906 N Main St
Tarboro, NC 27886-1921
Phone
(252) 823-7212
NPI assigned
Apr 4, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 2026-04253 NC Primary
Orthopaedic Surgery Physician 207X00000X 345088 LA

Addresses

Primary practice location

2906 N Main St
Tarboro, NC 27886-1921

Mailing address

2906 N Main St
Tarboro, NC 27886-1921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20251119004410 LA Practitioner - Orthopedic Surgery 6709112865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

1201 S Clearview Pkwy
Jefferson, LA 70121-1015
Phone (504) 842-3317

Hospital & facility affiliations

  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Single Specialty Current Accepting new patients
Ochsner Clinic LLC CurrentSince Sep 9, 2025 Accepting new patients
Ochsner Clinic LLC CurrentSince Sep 9, 2025 Accepting new patients

Locations

1201 S Clearview Pkwy
New Orleans, LA 70121
Phone (504) 736-4800

Interoperability endpoints

  • Direct secure messaging: wwardell143635@direct-guthrie.org

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.

Hospital & facility affiliations 1

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": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1063974319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 N MAIN ST",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278861921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 N MAIN ST",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278861921",
            "telephone_number": "252-823-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDELL",
        "first_name": "WILLIAM",
        "middle_name": "LOUIS",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-04",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NC",
            "license": "2026-04253",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "345088",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarboro, NC

Sources for this page

Verify at the official NPI Registry.