Individual provider Active NPI

William Wittmer Maclaughlin, MD

  • Hematology & Oncology Physician
  • Chesapeake, VA
National Provider Identifier
1164487419
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
0101034996 Issued in VA
Practice address
110 Wimbledon SQ
Suite E
Chesapeake, VA 23320
Phone
(757) 436-2995
Fax
(757) 436-2912
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 0101034996 VA Primary

Addresses

Primary practice location

110 Wimbledon SQ
Suite E
Chesapeake, VA 23320

Mailing address

856 J Clyde Morris Blvd
Suite a
Newport News, VA 23601-1318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070913000167 VA Practitioner - Hematology/Oncology 9739273335 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101034996VAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Cancer Institute LLC Hematology & Oncology CurrentSince Aug 1, 2007 Accepting new patients

Locations

110 Wimbledon Sq
Ste E
Chesapeake, VA 23320
Phone (757) 436-1492

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

120 Kings Way
Ste 3100
Williamsburg, VA 23185
Phone (757) 345-5724

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1164487419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD",
            "address_2": "SUITE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WIMBLEDON SQ",
            "address_2": "SUITE E",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "23320",
            "telephone_number": "757-436-2995",
            "fax_number": "757-436-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLAUGHLIN",
        "first_name": "WILLIAM",
        "middle_name": "WITTMER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "VA",
            "license": "0101034996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.