William J. Van Wyk M.D., P.a.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

D9696 Issued in TX

Legal business name

WILLIAM J. VAN WYK M.D., P.A.

Practice address

803 W Terrell Ave
Fort Worth, TX 76104-3155

Phone

(817) 877-3113

Fax

(817) 877-0022

NPI assigned

Feb 13, 2008

Organization subpart

No

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

Authorized official

Name

William J. Van Wyk, M.D., P.A.NPI 1558361915

Title

President

Phone

(817) 877-3113

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EGBCBA

Practitioners 3

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

• William J Van Wyk, MD PA

  • Orthopaedic Hand Surgery Physician
  • Fort Worth, TX
  • NPI 1558361915
  Medicare reassignment NPD Authorized official
• Jill Kay Holden, OTR

  • Occupational Therapist
  • Fort Worth, TX
  • NPI 1639344021
  NPD (past)
• Melissa Blake James, OTR

  • Hand Occupational Therapist
  • Fort Worth, TX
  • NPI 1205836665
  NPD (past)

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1073781050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 W TERRELL AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043155",
            "telephone_number": "817-877-3113",
            "fax_number": "817-877-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 W TERRELL AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043155",
            "telephone_number": "817-877-3113",
            "fax_number": "817-877-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J. VAN WYK M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "VAN WYK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-877-3113",
        "authorized_official_credential": "M.D., P.A."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "D9696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Drost Altig, O.D., P.C.
• William F Cothern, D.O., P.a.
• William F. Cothern,D.O.,P.a.
• William G Paulus DDS Ms Inc
• William G. Coleman, M.D.,P.a.
• William L Aston OD and Melissa a Aston OD PC
• William M Perryman Mdpa
• William W. Barnes DDS Inc
• Amanda Leigh Williams
• Amber Ann Williams, OTR

• Medical Specialty Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.