William Russell Dewar III, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD037244L Issued in PA

Practice address

1839 Fair Ave
Honesdale, PA 18431-2121

Phone

(570) 251-6500

Fax

(570) 253-8195

NPI assigned

Apr 3, 2006

Last updated

Nov 11, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Wayne Memorial Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Honesdale, PA
  • NPI 1952395121

  Internal Medicine

  Medicare reassignment NPD
• Wayne Memorial Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Honesdale, PA
  • NPI 1346000569
  NPD
• Ellen Memorial, LLC

  dba Ellen Memorial Health Care Center

  • Skilled Nursing Facility
  • Honesdale, PA
  • NPI 1942763297
  NPD (past)
• Wayne Memorial Community Health Centers

  dba Highland Physicians Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Honesdale, PA
  • NPI 1801266879

  Internal Medicine

  NPD (past)
• Wayne Woodlands Manor

  • Skilled Nursing Facility
  • Waymart, PA
  • NPI 1629075163
  NPD (past)

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257897600000",
    "number": "1346202744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 FAIR AVE",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184312121",
            "telephone_number": "570-251-6500",
            "fax_number": "570-253-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 FAIR AVE",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184312121",
            "telephone_number": "570-251-6500",
            "fax_number": "570-253-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWAR",
        "first_name": "WILLIAM",
        "middle_name": "RUSSELL",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2009-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD037244L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00069663",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01169846",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH PIN",
            "identifier": "002316",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN PIN",
            "identifier": "17953",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Delisi, LCSW
• Carrie Elizabeth Demers M.D., M.D.
• Marla Osborne Dempsey, D.O.
• Destination Vitality LTD
• Luisa Fernanda Devia, MD
• Diakon Lutheran Social Ministries (Diakon Home Health)
• Paul M Diamond, M.D.
• Carly Dietz, NCC, MS
• Dowling Family Eye Care P.C
• Lisa Dowling, O.D.

• Internal Medicine Physician in Honesdale, PA
• Providers in Honesdale, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.