Active NPI
William J Knox, DO
- Anesthesiology Physician
- Rolla, MO
National Provider Identifier
1205989084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 2006002690
- Practice address
- 1000 W 10TH St
Rolla, MO 65401-2905 - Phone
- (573) 458-7879
- Fax
- (573) 458-8484
- NPI assigned
- Jan 18, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2006002690 | MO | Primary |
Addresses
Primary practice location
1000 W 10TH St
Rolla, MO 65401-2905
Mailing address
1000 W 10TH St
Rolla, MO 65401-2905
Phone (573) 458-7879
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207612102 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Kansas City Medical College, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 W 10TH St
Rolla, MO 65401-2905
Phone (573) 458-8899
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pcrmc Medical Group, Inc | Current | Accepting new patients | |
| Ameripath Indianapolis PC | Current | Accepting new patients | |
| Glenn a Kunkel MD LLC | Anesthesiology | Past | Accepting new patients |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
1050 W 10th St
Rolla, MO 65401
Phone (573) 364-9000
1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Rolla, MO
- NPI 1891766051
-
- Clinic/Center
- Rolla, MO
- NPI 1124237227
-
- Anatomic Pathology & Clinical Pathology Physician
- Rolla, MO
- NPI 1053102004
-
- Pain Medicine (Anesthesiology) Physician
- Rolla, MO
- NPI 1649255894
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Rolla, MO
- NPI 1346287455
-
- General Acute Care Hospital
- Rolla, MO
- NPI 1891766051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423526400000",
"number": "1205989084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 W 10TH ST",
"city": "ROLLA",
"state": "MO",
"postal_code": "654012905",
"telephone_number": "573-458-7879",
"fax_number": "573-458-8484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W 10TH ST",
"city": "ROLLA",
"state": "MO",
"postal_code": "654012905",
"telephone_number": "573-458-7879",
"fax_number": "573-458-8484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOX",
"first_name": "WILLIAM",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2015-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MO",
"license": "2006002690",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207612102",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rolla, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.