Active NPI
William Joseph Hammond, MD, MSC
- Pediatric Surgery Physician
- Idaho Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- 9361477
- Practice address
- 3200 Channing Way Ste 303
Idaho Falls, ID 83404-7546 - Phone
- (208) 535-4515
- Fax
- (208) 535-4565
- NPI assigned
- Mar 20, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | 9361477 | ID | Primary |
Addresses
Primary practice location
3200 Channing Way Ste 303
Idaho Falls, ID 83404-7546
Mailing address
PO Box 277381
Atlanta, GA 30384-4072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9361477 | ID | MD | Pediatric Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Idaho Physician Services Inc. | Current | Accepting new patients | |
| Ny Presbyterian Hospital - Cornell | Past | Accepting new patients | |
| Eirmc Hospitalist Services LLC | Past | Accepting new patients |
Locations
3200 Channing Way
Ste A205
Idaho Falls, ID 83404
Phone (208) 535-4580
3200 Channing Way
Ste 303
Idaho Falls, ID 83404
Phone (208) 535-4400
3200 Channing Way
Ste 205
Idaho Falls, ID 83404
Phone (208) 535-4300
2860 Channing Way
Ste 116
Idaho Falls, ID 83404
Phone (208) 529-0575
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- william.hammond@hca3.eclinicaldirectplus.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Idaho Falls, ID
- NPI 1902841893
-
- Internal Medicine Physician
- Idaho Falls, ID
- NPI 1144502071
-
- Long Term Care Hospital
- New York, NY
- NPI 1083918221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727740800000",
"number": "1346582137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 277381",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303844072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 CHANNING WAY STE 303",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047546",
"telephone_number": "208-535-4515",
"fax_number": "208-535-4565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMOND",
"first_name": "WILLIAM",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "MD, MSC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-20",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "ID",
"license": "9361477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.