William Henry Tellman, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

GFE14562 Issued in CA

Practice address

17248 Placer Hills Rd
Meadow Vista, CA 95722-1292

Phone

(530) 878-6293

Fax

(530) 878-6293

NPI assigned

Jul 8, 2008

Last updated

Jul 8, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1164685376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17248 PLACER HILLS RD /PO BOX 1292",
            "city": "MEADOW VISTA",
            "state": "CA",
            "postal_code": "957221292",
            "telephone_number": "530-878-6293",
            "fax_number": "530-878-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17248 PLACER HILLS RD",
            "city": "MEADOW VISTA",
            "state": "CA",
            "postal_code": "957221292",
            "telephone_number": "530-878-6293",
            "fax_number": "530-878-6293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLMAN",
        "first_name": "WILLIAM",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "GFE14562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugenia Ariadne Pinder, MCD, RD
• Placer Hills Union School District
• Richard Leighton Peatman (Meadow Vista Pharmacy)
• Rickard Chiropractic, Inc.
• Kenneth Silva
• Henry Scott Thompson, D.D.S.
• Scott Warren, RN
• Palma Anne Wideman, M.D.

• Internal Medicine Physician in Meadow Vista, CA
• Providers in Meadow Vista, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.