Active NPI
William M Jennings III, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Huntington, WV
National Provider Identifier
1265785737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 10463
- Practice address
- 1448 10TH Avenue
Suite 100
Huntington, WV 25704 - Phone
- (304) 529-0753
- Fax
- (304) 529-0591
- NPI assigned
- Oct 22, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 10463 | WV | Primary |
Addresses
Primary practice location
1448 10TH Avenue
Suite 100
Huntington, WV 25704
Mailing address
1448 10TH Avenue
Suite 100
Huntington, WV 25701
Phone (304) 529-0753
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 |
|---|---|---|---|
| 10463 | WV | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physicians & Surgeons, Inc. | Past | Accepting new patients | |
| University Physicians & Surgeons, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Huntington, WV
- NPI 1730183286
-
- Health & Wellness Coach
- Louisa, KY
- NPI 1073256665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350864000000",
"number": "1265785737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1448 10TH AVENUE",
"address_2": "SUITE 100",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "25701",
"telephone_number": "304-529-0753",
"fax_number": "304-529-0591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1448 10TH AVENUE",
"address_2": "SUITE 100",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "25704",
"telephone_number": "304-529-0753",
"fax_number": "304-529-0591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "WILLIAM",
"middle_name": "M",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-22",
"last_updated": "2012-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "WV",
"license": "10463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.