William C Sharer

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

30695 Issued in MN

Practice address

3900 Park Nicollet Blvd
Park Nicollet Clinic - SLP
St Louis Park, MN 55416-2503

Phone

(952) 993-3017

Fax

(952) 993-1751

NPI assigned

Dec 27, 2005

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)

Enrolled

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1154308757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6465 WAYZATA BLVD",
            "address_2": "STE 315",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554261728",
            "telephone_number": "952-993-7169",
            "fax_number": "952-993-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 PARK NICOLLET BLVD",
            "address_2": "PARK NICOLLET CLINIC - SLP",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162503",
            "telephone_number": "952-993-3017",
            "fax_number": "952-993-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARER",
        "first_name": "WILLIAM",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MN",
            "license": "30695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anousheh Shafa, M.D.
• Eric Michael Shaffer
• Selamawit Elizabeth Shannon-Tamrat
• Alice C Shapiro, RD
• Rachel Irit Shapiro, CPM
• Chad W Sharkey, GNP
• Sharon Grostephan, Licsw
• Nicholas P Sharp, PT
• Alison Sharpe-Havill, PSYD, LP
• Katherine Sharpe, MD

• Urology Physician in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Urology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.