Active NPI
William Arthur Prin, M.D.
- Family Medicine Physician
- Parkland, FL
National Provider Identifier
1154327682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME134341
- Practice address
- 7897 Blue Sage Way
Parkland, FL 33076-4450 - Phone
- (717) 870-1279
- Fax
- (717) 633-3612
- NPI assigned
- Jun 21, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 019036E | PA | |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | ME134341 | FL | |
| Family Medicine Physician | 207Q00000X | ME134341 | FL | Primary |
Addresses
Primary practice location
7897 Blue Sage Way
Parkland, FL 33076-4450
Mailing address
100 Penn St
Ste C
Hanover, PA 17331-1956
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0725723 | Medicaid | PA |
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 |
|---|---|---|---|
| 019036E | PA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compassionate Health of Clermont LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Clermont, FL
- NPI 1043954571
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643846400000",
"number": "1154327682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PENN ST",
"address_2": "STE C",
"city": "HANOVER",
"state": "PA",
"postal_code": "173311956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7897 BLUE SAGE WAY",
"city": "PARKLAND",
"state": "FL",
"postal_code": "330764450",
"telephone_number": "717-870-1279",
"fax_number": "717-633-3612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIN",
"first_name": "WILLIAM",
"middle_name": "ARTHUR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-21",
"last_updated": "2022-02-03",
"certification_date": "2022-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "019036E",
"primary": false
},
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "FL",
"license": "ME134341",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME134341",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0725723",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parkland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.