Active NPI
William F. King Jr., MD
- Pediatrics Physician
- Philadelphia, PA
National Provider Identifier
1215983630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD056718L
- Practice address
- 105 W School House LN
Philadelphia, PA 19144-3348 - Phone
- (215) 848-9000
- Fax
- (215) 848-7894
- NPI assigned
- May 26, 2006
- Last updated
- Mar 7, 2023
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD056718L | PA | Primary |
Addresses
Primary practice location
105 W School House LN
Philadelphia, PA 19144-3348
Mailing address
105 W School House LN
Philadelphia, PA 19144-3348
Phone (215) 848-9000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10930032 | Other | PA | CAQH ID# |
| 9353393 | Other | PA | CIGNA HMO/PPO |
| MD056718L | Other | PA | MD LICENCE |
| 001565820 | Medicaid | PA | |
| 835878 | Other | PA | HIGHMARK BLUE SIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD056718L | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Pediatric & Adolescent Medicine Centers of Philadelphia | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Philadelphia, PA
- NPI 1356443543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1215983630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 W SCHOOL HOUSE LN",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191443348",
"telephone_number": "215-848-9000",
"fax_number": "215-848-7894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 W SCHOOL HOUSE LN",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191443348",
"telephone_number": "215-848-9000",
"fax_number": "215-848-7894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "WILLIAM",
"middle_name": "F.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD056718L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH ID#",
"identifier": "10930032",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HMO/PPO",
"identifier": "9353393",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD LICENCE",
"identifier": "MD056718L",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001565820",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SIELD",
"identifier": "835878",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.