William D. Province II, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01030437A Issued in IN

Practice address

100 N Main St
Franklin, IN 46131-1721

Phone

(317) 736-7177

Fax

(317) 736-7995

NPI assigned

Oct 24, 2006

Last updated

Dec 2, 2011By 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 1

Medicare fee-for-service enrollment

Enrolled in IN

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.

• Eye Specialists of Indiana, PC

  • Optometrist
  • Indianapolis, IN
  • NPI 1497891204
  Medicare reassignment NPD
• William D Province MD Inc

  • Internal Medicine Physician
  • Franklin, IN
  • NPI 1376679753
  NPD Authorized official
• Eye Specialist of Indiana, P.C.

  • Optometrist
  • Franklin, IN
  • NPI 1942349287
  NPD
• Johnson Memorial Hospital

  dba Johnson Memorial Hospital Health Affiliates

  • Internal Medicine Physician
  • Franklin, IN
  • NPI 1154321099
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322784000000",
    "number": "1346324803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N MAIN ST",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461311721",
            "telephone_number": "317-736-7177",
            "fax_number": "317-736-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N MAIN ST",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461311721",
            "telephone_number": "317-736-7177",
            "fax_number": "317-736-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROVINCE",
        "first_name": "WILLIAM",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2011-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01030437A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100322980A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Michael Prater
• Preferred Family Health Care, Inc.
• Autumn Marie Presley
• Lisa A Price, P.T.A.
• Primevexa Diagnostics LLC
• Amy Lynn Purol, MPAS, PA-C
• Quality Health Services
• Diana Rairdon, RBT
• Michael Ray
• Gregory B Raymond, D.D.S., F.A.G.D.

• Internal Medicine Physician in Franklin, IN
• Providers in Franklin, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.