William Henry Price, RSA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

238.000016 Issued in IL

Practice address

4819 5TH Ave
Unit 2
Kenosha, WI 53140-2924

Phone

(847) 917-3666

Fax

(888) 370-3138

NPI assigned

Jan 6, 2007

Last updated

Oct 22, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• I Care Surgical Assistance Inc.

  • Surgical Assistant
  • Highland Park, IL
  • NPI 1982899340
  Authorized official Same address or phone

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1124176383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4819 5TH AVE",
            "address_2": "UNIT 2",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531402924",
            "telephone_number": "847-917-3666",
            "fax_number": "888-370-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4819 5TH AVE",
            "address_2": "UNIT 2",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531402924",
            "telephone_number": "847-917-3666",
            "fax_number": "888-370-3138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "WILLIAM",
        "middle_name": "HENRY",
        "name_prefix": "Mr.",
        "credential": "RSA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-06",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IL",
            "license": "238.000016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prairie Orthdontics S.C.
• Carla Doreen Pratt, LPC-IT
• Premier Pediatrics LTD
• Premise Health of Wisconsin Medical SC (City of Kenosha Wellness Center)
• Ashli Lorene Price, OTD, OTR/L
• Kristi Priem, OTR
• Jenna L Prijatel, PT
• Dominique Shantelle Pritchett, LCSW
• Profectus Physical Therapy LLC
• Professional Services Group

• Surgical Physician Assistant in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Surgical Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.