Active NPI
William John Somerset, DO
- Physical Medicine & Rehabilitation Physician
- Evergreen, CO
National Provider Identifier
1336119841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- DR.0034416
- Practice address
- 4249 Scenic Village
Evergreen, CO 80439 - Phone
- (615) 345-5400
- Fax
- (888) 468-6603
- NPI assigned
- Jan 25, 2006
- Last updated
- Dec 19, 2018
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 34416 | CO | |
| Physical Medicine & Rehabilitation Physician | 208100000X | DR.0034416 | CO | Primary |
Addresses
Primary practice location
4249 Scenic Village
Evergreen, CO 80439
Mailing address
3 Maryland Farms Ste 200
Brentwood, TN 37027-5005
Phone (615) 345-5400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 92637728 | Medicaid | CO |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34416 | CO | MD | Physical Medicine & Rehabilitation Physician |
| DR.0034416 | CO | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiom Associates, PLLC | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Lutheran Hospital Association of the San Luis Valley | Past | Accepting new patients | |
| Pronerve Physicians in,LLC | Past | Accepting new patients | |
| Rehabilitation Associates of Colorado PC | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba San Luis Valley Health Regional Medical Center
- General Acute Care Hospital
- Alamosa, CO
- NPI 1235181744
-
- Physical Medicine & Rehabilitation Physician
- Fort Collins, CO
- NPI 1124100763
-
- Specialist
- Greenwood Village, CO
- NPI 1851667554
-
- Physical Medicine & Rehabilitation Physician
- Thornton, CO
- NPI 1932272689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545177600000",
"number": "1336119841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 MARYLAND FARMS STE 200",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275005",
"telephone_number": "615-345-5400",
"fax_number": "888-468-6603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4249 SCENIC VILLAGE",
"city": "EVERGREEN",
"state": "CO",
"postal_code": "80439",
"telephone_number": "615-345-5400",
"fax_number": "888-468-6603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOMERSET",
"first_name": "WILLIAM",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2018-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CO",
"license": "34416",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CO",
"license": "DR.0034416",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "92637728",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evergreen, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.