Active NPI
William E Hadcock, M.D.
- Vascular Surgery Physician
- Fresno, CA
National Provider Identifier
1154353795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- A41224
- Practice address
- 1247 E Alluvial Ave
Ste. 101
Fresno, CA 93720-2686 - Phone
- (559) 431-6226
- Fax
- (559) 440-9005
- NPI assigned
- Jul 6, 2006
- Last updated
- Sep 6, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | A41224 | CA | Primary |
Addresses
Primary practice location
1247 E Alluvial Ave
Ste. 101
Fresno, CA 93720-2686
Mailing address
7249 N Sequoia Ave
Fresno, CA 93711-0426
Phone (559) 432-4550
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00334087 | Other | RAILROAD MEDICARE | |
| 00A412240 | Medicaid | CA |
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 |
|---|---|---|---|
| A41224 | CA | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Agnes Medical Center | Current | Accepting new patients | |
| Trinity Home Health Services | Current | Accepting new patients | |
| Fresno Community Hospital and Medical Center | Past | Accepting new patients |
Locations
1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000
Organizations & group practices 4
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.
-
- Vascular Surgery Physician
- Fresno, CA
- NPI 1881799161
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1205845567
-
dba Saint Agnes Home Health and Hospice, LLC
- Community Based Hospice Care Agency
- Fresno, CA
- NPI 1750478293
-
dba Community Regional Medical Center
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378425600000",
"number": "1154353795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7249 N SEQUOIA AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937110426",
"telephone_number": "559-432-4550",
"fax_number": "559-438-8067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1247 E ALLUVIAL AVE",
"address_2": "STE. 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202686",
"telephone_number": "559-431-6226",
"fax_number": "559-440-9005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADCOCK",
"first_name": "WILLIAM",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2013-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "CA",
"license": "A41224",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00334087",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A412240",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.