Individual provider Active NPI

William John Ciccone, M.D.

  • Orthopaedic Surgery Physician
  • Colorado Springs, CO
National Provider Identifier
1346247707
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
16984 Issued in CO
Practice address
6011 E Woodmen Rd
Suite 120
Colorado Springs, CO 80923-2603
Phone
(719) 574-8383
Fax
(719) 574-8548
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 16984 CO Primary

Addresses

Primary practice location

6011 E Woodmen Rd
Suite 120
Colorado Springs, CO 80923-2603

Mailing address

6011 E Woodmen Rd
Suite 120
Colorado Springs, CO 80923-2603
Phone (719) 574-8383

Other identifiers 1

IdentifierTypeStateIssuer
01169846MedicaidCO

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 Medicine

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221177600000",
    "number": "1346247707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 E WOODMEN RD",
            "address_2": "SUITE 120",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232603",
            "telephone_number": "719-574-8383",
            "fax_number": "719-574-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 E WOODMEN RD",
            "address_2": "SUITE 120",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232603",
            "telephone_number": "719-574-8383",
            "fax_number": "719-574-8548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICCONE",
        "first_name": "WILLIAM",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2008-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "16984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01169846",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.