Active NPI
William Radcliffe Boone, DO
- Family Medicine Physician
- Sunnyvale, TX
National Provider Identifier
1083678189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G4843
- Practice address
- 341 Wheatfield Dr., Suite 100
Sunnyvale, TX 75182-4637 - Phone
- (972) 329-1996
- Fax
- (972) 329-0211
- NPI assigned
- Apr 14, 2006
- Last updated
- Oct 14, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G4843 | TX | Primary |
Addresses
Primary practice location
341 Wheatfield Dr., Suite 100
Sunnyvale, TX 75182-4637
Mailing address
341 Wheatfield Dr., Suite 100
Sunnyvale, TX 75182-4637
Phone (972) 329-1996
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135563806 | Medicaid | TX |
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, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G4843 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians and Allied Health Professionals Group, PA | Family Medicine | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1528011814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255478400000",
"number": "1083678189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 WHEATFIELD DR., SUITE 100",
"city": "SUNNYVALE",
"state": "TX",
"postal_code": "751824637",
"telephone_number": "972-329-1996",
"fax_number": "972-329-0211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341 WHEATFIELD DR., SUITE 100",
"city": "SUNNYVALE",
"state": "TX",
"postal_code": "751824637",
"telephone_number": "972-329-1996",
"fax_number": "972-329-0211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOONE",
"first_name": "WILLIAM",
"middle_name": "RADCLIFFE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2009-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "G4843",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "135563806",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sunnyvale, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.