Active NPI
William K Mueller, MD
- Radiation Oncology Physician
- Fall River, MA
National Provider Identifier
1285639997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 242436
- Practice address
- 363 Highland Avenue
Southcoast Physician Services, Inc.
Fall River, MA 02720 - Phone
- (508) 679-7814
- Fax
- (508) 679-7881
- NPI assigned
- Jun 17, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 242436 | MA | Primary |
| Radiation Oncology Physician | 2085R0001X | 35-047483 | OH |
Addresses
Primary practice location
363 Highland Avenue
Southcoast Physician Services, Inc.
Fall River, MA 02720
Mailing address
370 Faunce Corner Road
Southcoast Physician Services, Inc.
North Dartmouth, MA 02747
Phone (508) 985-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 920005075 | Other | OH | RR MEDICARE |
| 0491794 | Medicaid | OH |
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 |
|---|---|---|---|
| 35-047483 | OH | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Toledo Radiation Oncology, Inc | Radiation Oncology | Past | Accepting new patients |
| Southcoast Physicians Group, Inc. | Past | Accepting new patients | |
| Toledo Radiation Oncology, PLC | Radiation Oncology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Fairhaven, MA
- NPI 1336137629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268092800000",
"number": "1285639997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "370 FAUNCE CORNER ROAD",
"address_2": "SOUTHCOAST PHYSICIAN SERVICES, INC.",
"city": "NORTH DARTMOUTH",
"state": "MA",
"postal_code": "02747",
"telephone_number": "508-985-2000",
"fax_number": "508-985-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "363 HIGHLAND AVENUE",
"address_2": "SOUTHCOAST PHYSICIAN SERVICES, INC.",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "02720",
"telephone_number": "508-679-7814",
"fax_number": "508-679-7881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUELLER",
"first_name": "WILLIAM",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-17",
"last_updated": "2010-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MA",
"license": "242436",
"primary": true
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "OH",
"license": "35-047483",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "920005075",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0491794",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.