William G Artherholt, D.O.
Individual provider Active NPI Family Medicine Physician · Red Oak, IA
NPI 1205949302 · NPPES record last updated Jul 17, 2013
Key facts
- NPI
- 1205949302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 01479 (IA)
- Practice address
- 4 Oak Knoll Rd
Suite 105
Red Oak, IA 51566-1271 - Phone
- (712) 789-9102
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01479 | IA | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01479 | IA | Yes |
Addresses
Primary practice location
4 Oak Knoll Rd
Suite 105
Red Oak, IA 51566-1271
Mailing address
4 Oak Knoll Rd
Red Oak, IA 51566-1755
Phone (712) 789-9102
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0162198 | Medicaid | IA | |
| 47068731710 | Medicaid | NE |
Other providers in Red Oak, IA
- Laurie A Anderson
- Apria Healthcare LLC
- Arlington Place
- Arlington Place of Red Oak II, Inc.
- Audiological Services Inc.
- Claudia M. Balta
- Lane Beisel
- Kaylie Marie Blackledge
- Kimberly Lynn Bond
All providers in Red Oak, IA · Family Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.