William A Cumberworth, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

70-29 Issued in NM

Practice address

657A West Maple Street
Farmington, NY 87401

Phone

(505) 325-5025

Fax

(505) 325-0689

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Farmington Internal Medicine, P.C.

  • Internal Medicine Physician
  • Farmington, NM
  • NPI 1932123288
  NPD (past)
• Medical Diagnostic Services LTD

  • Diagnostic Radiology Physician
  • Farmington, NM
  • NPI 1497761795
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255443024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657A WEST MAPLE STREET",
            "city": "FARMINGTON",
            "state": "NY",
            "postal_code": "87401",
            "telephone_number": "505-325-5025",
            "fax_number": "505-325-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657A WEST MAPLE STREET",
            "city": "FARMINGTON",
            "state": "NY",
            "postal_code": "87401",
            "telephone_number": "505-325-5025",
            "fax_number": "505-325-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMBERWORTH",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "70-29",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSHIELD",
            "identifier": "NM004695",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0645",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Ciravola, RN
• Cosmo J Cirocco, RPH
• Jennifer Lynn Colella, PT
• David Coron, PHD
• Charles Crawford, LMHC
• CVS Albany LLC (CVS Pharmacy#01925)
• Edward H Davis, OD
• Walter James Deck, DMD
• Edmond Spencer Dibble III
• Andrea C Dicarlo, CCC/SLP

• Internal Medicine Physician in Farmington, NY
• Providers in Farmington, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.