Individual provider Active NPI

William Lemaster Tate, D.O.

  • Hospitalist Physician
  • Winter Haven, FL
National Provider Identifier
1205263266
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
05-46627 Issued in KS
Practice address
200 Avenue F NE
Winter Haven, FL 33881-4131
Phone
(632) 931-1918
NPI assigned
Oct 3, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2969 TN
Family Medicine Physician 207Q00000X UO 3474 FL
Hospitalist Physician 208M00000X OS13306 FL
Hospitalist Physician 208M00000X 05-46627 KS Primary

Addresses

Primary practice location

200 Avenue F NE
Winter Haven, FL 33881-4131

Mailing address

3745 NW Mediterranean LN
Jensen Beach, FL 34957-3108
Phone (772) 335-9600

Other practice location 1

401 E Spruce St
Garden City, KS 67846-5679
Phone (620) 272-2222

Other identifiers 1

IdentifierTypeStateIssuer
30004823560001MedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160628001961 TN Practitioner - Family PracticePractitioner - Internal Medicine 7810288511 Reassigns benefits to 3 organizations
I20190711002584 FL Practitioner - Family PracticePractitioner - Hospitalist 7810288511 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of TN LLCGroup PAC ID 2365807633, 266 clinicians

Practice addresses (Care Compare)

2300 Patterson St
Nashville, TN 37203-1538
Phone (615) 342-1000

2333 McCallie Ave
Chattanooga, TN 37404-3258
Phone (423) 698-6061

941 Spring Creek Rd
Chattanooga, TN 37412-3909
Phone (423) 894-7870

Hospital & facility affiliations

  • Parkridge Medical Center Hospital, Chattanooga, TN, CCN 440156
  • Fairview Park Hospital Hospital, Dublin, GA, CCN 110125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
UO 3474FLMDFamily Medicine Physician
2969TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bond Clinic PA Internal Medicine CurrentSince Aug 2, 2019 Accepting new patients
Hospital Medicine Services of TN, LLC Hospitalist CurrentSince Apr 1, 2023 Accepting new patients
Saint Thomas Medical Partners Family Medicine CurrentSince Jul 1, 2016 Accepting new patients
Hospital Medicine Services of FL, LLC Hospitalist CurrentSince Apr 1, 2023 Accepting new patients
Cogent Healthcare of Tennessee, PC Internal Medicine CurrentSince Aug 5, 2022 Accepting new patients
Bond Clinic PA Family Medicine CurrentSince Aug 2, 2019 Accepting new patients
Parkridge Medical Center, Inc. Past Accepting new patients
Bond Urgent Care LLC Past Accepting new patients
Parkridge Medical Center, Inc. Past Accepting new patients

Locations

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969

3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101

500 E Central Ave
Winter Haven, FL 33880
Phone 86329311913286

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410

941 Spring Creek Rd
East Ridge, TN 37412
Phone (423) 855-3255

1700 Medical Center Pkwy
Murfreesboro, TN 37129
Phone (615) 396-4100

2300 Patterson St
#M
Nashville, TN 37203

300 20th Ave N
Fl 9
Nashville, TN 37203

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

Interoperability endpoints

  • Direct secure messaging: william.tate.p1@direct.bondclinicpa.nextgenshare.com
  • Direct secure messaging: wtate702474@ahs.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1205263266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3745 NW MEDITERRANEAN LN",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349573108",
            "telephone_number": "772-335-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AVENUE F NE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814131",
            "telephone_number": "632-931-1918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 E Spruce St",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "KS",
            "postal_code": "678465679",
            "country_code": "US",
            "telephone_number": "620-272-2222",
            "fax_number": "620-272-2755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATE",
        "first_name": "WILLIAM",
        "middle_name": "LEMASTER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-03",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "2969",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "UO 3474",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "OS13306",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KS",
            "license": "05-46627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004823560001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.