Active NPI
William Kelly McCarty, DO
- Otolaryngology Physician
- Colorado Springs, CO
National Provider Identifier
1073506929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 29443
- Practice address
- 2105 Academy Cir
Suite 100
Colorado Springs, CO 80909-1658 - Phone
- (719) 591-2444
- Fax
- (719) 591-2484
- NPI assigned
- Aug 25, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 29443 | CO | Primary |
Addresses
Primary practice location
2105 Academy Cir
Suite 100
Colorado Springs, CO 80909-1658
Mailing address
2105 Academy Cir
Suite 100
Colorado Springs, CO 80909-1658
Phone (719) 591-2444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01294438 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29443 | CO | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Academy Ear Nose Throat /Allergy Clinic | Past | Accepting new patients |
Organizations & group practices 1
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.
-
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- Colorado Springs, CO
- NPI 1437394657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291852800000",
"number": "1073506929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 ACADEMY CIR",
"address_2": "SUITE 100",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809091658",
"telephone_number": "719-591-2444",
"fax_number": "719-591-2484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 ACADEMY CIR",
"address_2": "SUITE 100",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809091658",
"telephone_number": "719-591-2444",
"fax_number": "719-591-2484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTY",
"first_name": "WILLIAM",
"middle_name": "KELLY",
"name_prefix": "Mr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-25",
"last_updated": "2010-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CO",
"license": "29443",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01294438",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.