Active NPI
William M Sherrill, M.D.
- Orthopaedic Surgery Physician
- Fort Smith, AR
National Provider Identifier
1285602599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- R2471
- Practice address
- 3501 We Knight Dr
Fort Smith, AR 72903-7994 - Phone
- (479) 709-7000
- Fax
- (479) 709-7051
- NPI assigned
- Mar 11, 2006
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | R2471 | AR | Primary |
Addresses
Primary practice location
3501 We Knight Dr
Fort Smith, AR 72903-7994
Mailing address
PO Box 11230
Fort Smith, AR 72917-1230
Phone (479) 709-7000
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 920004 | Other | AR | UNITED HEALTHCARE |
| 17697000000 | Other | AR | QUALCHOICE |
| 200038812 | Other | AR | RAILROAD MEDICARE |
| 4627561 | Other | AR | AETNA |
| 54810 | Other | AR | ARKANSAS BLUE CROSS |
| 0651681 | Other | AR | CIGNA |
| 105782001 | Medicaid | AR | |
| 904201 | Other | AR | USA MCO |
| 100166750A | Other | OK | OKLAHOMA MEDICAID |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R2471 | AR | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedics PA | Orthopaedic Surgery | 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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Fort Smith, AR
- NPI 1619937745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260748800000",
"number": "1285602599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11230",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729171230",
"telephone_number": "479-709-7000",
"fax_number": "479-709-7051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 WE KNIGHT DR",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729037994",
"telephone_number": "479-709-7000",
"fax_number": "479-709-7051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERRILL",
"first_name": "WILLIAM",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-11",
"last_updated": "2009-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AR",
"license": "R2471",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "920004",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE",
"identifier": "17697000000",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "200038812",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4627561",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARKANSAS BLUE CROSS",
"identifier": "54810",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0651681",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105782001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USA MCO",
"identifier": "904201",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OKLAHOMA MEDICAID",
"identifier": "100166750A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.