William H Haney MD PLLC Ultimate MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25305 Issued in KY

Legal business name

WILLIAM H HANEY MD PLLC ULTIMATE MD

Doing business as

Ultimate MD

Practice address

125 Fairfax Ave
Louisville, KY 40207-4905

Phone

(502) 897-6568

Fax

(502) 890-3510

NPI assigned

Jul 18, 2017

Organization subpart

No

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

Authorized official

Name

Julie Schoenbaechler

Title

Credentialing Support

Phone

(502) 220-8437

Specialties & licenses 2

Addresses

Other names 1

• Ultimate MD Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William H Haney, MD

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1538250147
  Medicare reassignment

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1326561648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 FAIRFAX AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074905",
            "telephone_number": "502-897-6568",
            "fax_number": "502-890-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 FAIRFAX AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074905",
            "telephone_number": "502-897-6568",
            "fax_number": "502-890-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM H HANEY MD PLLC ULTIMATE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SCHOENBAECHLER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CREDENTIALING SUPPORT",
        "authorized_official_telephone_number": "502-220-8437"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "25305",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ultimate MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caroline S Willette, M.D.
• David Emory Willey, D.M.D.
• William a. Phillips DMD, PSC (Dupont Pediatric Dentistry)
• William D Newman DMD PLLC (Newman Family Dentistry)
• William E Moss PSC
• William P Owen MD PSC
• William P Williamson MD LLC
• William R. Johnson, DMD
• William S French MD
• William T Beasley PSC

• Internal Medicine Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.