William Watson Shough, MSPAS

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0110004221 Issued in VA

Practice address

314 Fairy Street Ext Ste a
Martinsville, VA 24112-1913

Phone

(276) 638-7205

Fax

(276) 638-3389

NPI assigned

May 20, 2013

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

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Privia Medical Group, LLC 1,522 clinicians

Oandw Enterprises 216 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Care Home health agency, Roanoke, VA, CCN 497275
• Sovah Home Health of Martinsville Home health agency, Martinsville, VA, CCN 497497
• Sovah Health Danville Hospital, Danville, VA, CCN 490075
• Carilion Franklin Memorial Hospital Hospital, Rocky Mount, VA, CCN 490089

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: william.shough.1@8042.direct.athenahealth.com

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.

• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  VA

  Medicare reassignment Care Compare group NPD
• O&W Enterprises

  • Physical Therapist
  • Stanleytown, VA
  • NPI 1487895348
  Care Compare group
• Privia Medical Group, LLC

  • Podiatrist
  • Falls Church, VA
  • NPI 1205787322
  Care Compare group
• Privia Medical Group, LLC

  • Foot & Ankle Surgery Podiatrist
  • Leesburg, VA
  • NPI 1558212449
  Care Compare group
• Privia Medical Group, LLC

  • Orthopaedic Surgery Physician
  • MC Lean, VA
  • NPI 1700737699
  Care Compare group
• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Potomac, MD
  • NPI 1316898299
  Care Compare group
• Privia Medical Group, LLC

  • Nephrology Physician
  • Rockville, MD
  • NPI 1851246722
  Care Compare group
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Home Health of Virginia Sub 2 LLC

  • Home Health Agency
  • Pulaski, VA
  • NPI 1164470738
  Care Compare affiliation
• Carilion Franklin Memorial Hospital

  • General Acute Care Hospital
  • Rocky Mount, VA
  • NPI 1710970918

  Hospital

  Care Compare affiliation
• Danville Regional Medical Center LLC

  • General Acute Care Hospital
  • Martinsville, VA
  • NPI 1386720183

  Hospital

  Care Compare affiliation
• Danville Regional Medical Center, LLC

  • Rural Acute Care Hospital
  • Danville, VA
  • NPI 1154419737

  Hospital

  Care Compare affiliation
• Virginia in-Home Partner-VI, LLC

  • Home Health Agency
  • Martinsville, VA
  • NPI 1346785334
  Care Compare affiliation

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1184060972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 FAIRY STREET EXT STE A",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121913",
            "telephone_number": "276-638-7205",
            "fax_number": "276-638-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 FAIRY STREET EXT STE A",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121913",
            "telephone_number": "276-638-7205",
            "fax_number": "276-638-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOUGH",
        "first_name": "WILLIAM",
        "middle_name": "WATSON",
        "credential": "MSPAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110004221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Sherrill, LPC
• Krista Shibley, RD
• Thomas W Shields, M.D.
• Cynthia Sue Shively, NP
• Kelly Dawn Short, FNP
• Barton G Siebring, MD
• Sight Center LLC
• Emily Sigmon
• Simple Solutions Health & Wellness LLC
• Surinder D Singh, MD

• All providers in Martinsville, VA
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.