Active NPI
William M Palmer, MD
- Surgery Physician
- Juneau, AK
National Provider Identifier
1306856976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 1092
- Practice address
- 3268 Hospital Dr
Ste E
Juneau, AK 99801-7800 - Phone
- (907) 586-1895
- Fax
- (907) 586-2595
- NPI assigned
- Aug 8, 2006
- Last updated
- Jan 26, 2011
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 1092 | AK | Primary |
Addresses
Primary practice location
3268 Hospital Dr
Ste E
Juneau, AK 99801-7800
Mailing address
3268 Hospital Dr
Ste E
Juneau, AK 99801
Phone (907) 586-1895
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD1092 | Medicaid | AK |
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1092 | AK | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William Morris Palmer MD PC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296000000000",
"number": "1306856976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3268 HOSPITAL DR",
"address_2": "STE E",
"city": "JUNEAU",
"state": "AK",
"postal_code": "99801",
"telephone_number": "907-586-1895",
"fax_number": "907-586-2595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3268 HOSPITAL DR",
"address_2": "STE E",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998017800",
"telephone_number": "907-586-1895",
"fax_number": "907-586-2595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "WILLIAM",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2011-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AK",
"license": "1092",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD1092",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Juneau, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.