Active NPI
William Tham, MD
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Annapolis, MD
National Provider Identifier
1114917937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- D40561
- Practice address
- 2002 Medical Pkwy
Suite 430
Annapolis, MD 21401-3046 - Phone
- (410) 266-2700
- Fax
- (410) 269-1149
- NPI assigned
- Oct 24, 2005
- Last updated
- Jan 24, 2008
- 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 |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | D40561 | MD | Primary |
Addresses
Primary practice location
2002 Medical Pkwy
Suite 430
Annapolis, MD 21401-3046
Mailing address
2002 Medical Pkwy
Suite 430
Annapolis, MD 21401-3046
Phone (410) 266-2700
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52125237 | Other | MD | MD BLUE SHIELD |
| C4750001 | Other | DC | DC BLUE SHIELD |
| 63990 | Other | MD | MAMSI HEALTH PLANS |
| 4139559 | Other | AETNA |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D40561 | MD | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Pain Management Specialists, LLC | 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.
-
dba Clearway Pain Solutions
- Clinical Medical Laboratory
- Owings Mills, MD
- NPI 1316315740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201132800000",
"number": "1114917937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2002 MEDICAL PKWY",
"address_2": "SUITE 430",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013046",
"telephone_number": "410-266-2700",
"fax_number": "410-269-1149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 MEDICAL PKWY",
"address_2": "SUITE 430",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013046",
"telephone_number": "410-266-2700",
"fax_number": "410-269-1149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAM",
"first_name": "WILLIAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-24",
"last_updated": "2008-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "MD",
"license": "D40561",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD BLUE SHIELD",
"identifier": "52125237",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DC BLUE SHIELD",
"identifier": "C4750001",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI HEALTH PLANS",
"identifier": "63990",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4139559",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.