NPIMap

Individual provider Active NPI

William Henry Harrison III, MD

  • Family Medicine Physician
  • Lawrenceville, VA
National Provider Identifier
1275710204
Registry record updated Jan 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101038490 Issued in VA
Practice address
319 West Church Street
Lawrenceville, VA 23868
Phone
(434) 848-0072
NPI assigned
Jan 22, 2008
Last updated
Jan 4, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101038490 VA Primary

Addresses

Primary practice location

319 West Church Street
Lawrenceville, VA 23868

Mailing address

319 W Church St
Lawrenceville, VA 23868-1706
Phone (434) 848-0072

Other identifiers 2

IdentifierTypeStateIssuer
005630576MedicaidVA
092366OtherVAANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100504000313 VA Practitioner - Family Practice 3072641570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

319 W Church St
Lawrenceville, VA 23868-0748

319 W Church St
Lawrenceville, VA 23868-1706
Phone (434) 848-0072

PO Box
Suite 748
Lawrenceville, VA 23868-0748

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101038490VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brunswick Family Practice LTD Family Medicine CurrentSince May 4, 2010 Accepting new patients

Locations

319 W Church St
Lawrenceville, VA 23868
Phone (434) 848-0072

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262563200000",
    "number": "1275710204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 W CHURCH ST",
            "city": "LAWRENCEVILLE",
            "state": "VA",
            "postal_code": "238681706",
            "telephone_number": "434-848-0072",
            "fax_number": "434-848-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 WEST CHURCH STREET",
            "city": "LAWRENCEVILLE",
            "state": "VA",
            "postal_code": "23868",
            "telephone_number": "434-848-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "WILLIAM",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-22",
        "last_updated": "2010-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101038490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005630576",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "092366",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, VA

Sources for this page

Verify at the official NPI Registry.