Individual provider Active NPI

William C Dunaway, MD

  • General Practice Physician
  • Provo, UT
National Provider Identifier
1316121502
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
171340-1205 Issued in UT
Practice address
1750 N Wymount Terrace Dr
Provo, UT 84602-4800
Phone
(801) 422-2771
Fax
(801) 422-0761
NPI assigned
Dec 24, 2007
Last updated
Jan 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 171340-1205 UT Primary

Addresses

Primary practice location

1750 N Wymount Terrace Dr
Provo, UT 84602-4800

Mailing address

1750 N Wymount Terrace Dr
Provo, UT 84602-4800
Phone (801) 422-2771

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050513000568 UT Practitioner - Family Practice 9638110281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

750 N Freedom Blvd
Provo, UT 84601-1677
Phone (801) 373-4760

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
171340-1205UTMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Four Corners Community Behavioral Health Inc CurrentSince Dec 6, 2021 Accepting new patients
Wasatch Behavioral Health Special Service District CurrentSince Jan 17, 2024 Accepting new patients
Wasatch Behavioral Health Special Service District CurrentSince Jan 17, 2024 Accepting new patients

Locations

255 S Orem Blvd
Orem, UT 84058
Phone (385) 268-5042

750 N Freedom Blvd
Provo, UT 84601
Phone (801) 373-0639

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, 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": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1316121502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 N WYMOUNT TERRACE DR",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846024800",
            "telephone_number": "801-422-2771",
            "fax_number": "801-422-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 N WYMOUNT TERRACE DR",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846024800",
            "telephone_number": "801-422-2771",
            "fax_number": "801-422-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNAWAY",
        "first_name": "WILLIAM",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-24",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "UT",
            "license": "171340-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.