Organization Active NPI

William J Vanbeneden DO PLLC

  • Otolaryngology Physician
  • Ashland, KY
National Provider Identifier
1215166806
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
03158 Issued in KY
Legal business name
WILLIAM J VANBENEDEN DO PLLC
Practice address
2550 Carter Ave
Ashland, KY 41101-7830
Phone
(606) 325-8561
Fax
(606) 325-3591
NPI assigned
Jul 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Authorized official

Name
Dr. William J Vanbeneden, DO
Title
Owner
Phone
(606) 325-8561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 03158 KY Primary

Addresses

Primary practice location

2550 Carter Ave
Ashland, KY 41101-7830

Mailing address

2550 Carter Ave
Ashland, KY 41101-7830
Phone (606) 325-8561

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1215166806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 CARTER AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017830",
            "telephone_number": "606-325-8561",
            "fax_number": "606-325-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 CARTER AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017830",
            "telephone_number": "606-325-8561",
            "fax_number": "606-325-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J VANBENEDEN DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-06",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "VANBENEDEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-325-8561",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "03158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.