William Allen Neaville, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

L6541 Issued in TX

Practice address

10 Medical Pkwy Ste 204
Dallas, TX 75234

Phone

(972) 661-9197

Fax

(972) 239-5526

NPI assigned

Mar 28, 2006

Last updated

Apr 9, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Allergy/ImmunologyAlso: Pediatric Medicine

Education

University of Arkansas College of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

John Allen Van Wagoner, MD, PAGroup PAC ID 9335273390, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16371/brand/1/csg/1/fhir/r4
• Direct secure messaging: william.neaville.1@16371.direct.athenahealth.com

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.

• John Allen Van Wagoner, MD, PA

  dba Southwest Allergy and Asthma Center

  • Specialist
  • Plano, TX
  • NPI 1316063993
  Medicare reassignment Care Compare group NPD
• University of Texas Southwestern Medical Center at Dallas

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1942270566
  Medicare reassignment NPD
• Allergy and Immunology of Dallas

  • Allergy Physician
  • Dallas, TX
  • NPI 1417295353

  Allergy & Immunology

  NPD Authorized official
• The University of Texas Southwestern Medical Center at Dallas

  • Clinical Medical Laboratory
  • Dallas, TX
  • NPI 1396832713
  NPD
• University of Texas Southwestern Medical Center at Dallas

  • Pediatrics Physician
  • Dallas, TX
  • NPI 1750351375
  NPD
• John Allen Van Wagoner, MD, PA

  dba Southwest Allergy & Asthma Center

  • Allergy & Immunology Physician
  • Murphy, TX
  • NPI 1942007653
  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1326009614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MEDICAL PKWY STE 204",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347845",
            "telephone_number": "972-661-9197",
            "fax_number": "972-239-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEDICAL PKWY STE 204",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75234",
            "telephone_number": "972-661-9197",
            "fax_number": "972-239-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAVILLE",
        "first_name": "WILLIAM",
        "middle_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "L6541",
            "primary": true
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "TX",
            "license": "L6541",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159167901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159167903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Kathryn Nealon
• Marcus E. Nealy, MD
• Savannah Eidson Near, M.S., LPC
• Victoria Susan Nearpass, D.C.
• Kathryn Neary, PA-C
• Chisom Jennifer Nebe
• George O Nebe
• Michael Edward Neben, M.D.
• Uchenna Nebeolisa, NP
• Mallory Nebergall, M.D.

• Allergy & Immunology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Allergy & Immunology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.