Active NPI
William E Surber, M. D.
- Internal Medicine Physician
- Paris, TX
National Provider Identifier
1245239359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G6629
- Practice address
- 2850 Lewis LN
Ste. 101
Paris, TX 75460-9383 - Phone
- (903) 739-2244
- Fax
- (903) 739-2246
- NPI assigned
- Jul 20, 2005
- Reactivated
- May 24, 2013
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G6629 | TX | Primary |
Addresses
Primary practice location
2850 Lewis LN
Ste. 101
Paris, TX 75460-9383
Mailing address
2850 Lewis LN
Suite 101
Paris, TX 75460-9383
Phone (903) 739-2244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126498802 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369353600000",
"number": "1245239359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2850 LEWIS LN",
"address_2": "SUITE 101",
"city": "PARIS",
"state": "TX",
"postal_code": "754609383",
"telephone_number": "903-739-2244",
"fax_number": "903-739-2246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2850 LEWIS LN",
"address_2": "STE. 101",
"city": "PARIS",
"state": "TX",
"postal_code": "754609383",
"telephone_number": "903-739-2244",
"fax_number": "903-739-2246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURBER",
"first_name": "WILLIAM",
"middle_name": "E",
"credential": "M. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2013-05-24",
"deactivation_date": "2013-05-08",
"reactivation_date": "2013-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "G6629",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126498802",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paris, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.