Active NPI
William B McLendon, M.D.
- Diagnostic Radiology Physician
- Nederland, TX
National Provider Identifier
1376587477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- H0083
- Practice address
- 1323 S 27TH St
Suite 700
Nederland, TX 77627-6294 - Phone
- (409) 729-5400
- NPI assigned
- Jun 16, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 14216 | TN | |
| Diagnostic Radiology Physician | 2085R0202X | H0083 | TX | Primary |
Addresses
Primary practice location
1323 S 27TH St
Suite 700
Nederland, TX 77627-6294
Mailing address
PO Box 2469
Indianapolis, IN 46206-2469
Phone (800) 945-2455
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3080304 | Medicaid | TN | |
| 124755305 | Medicaid | TX |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14216 | TN | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Radiology Associates LLP | Diagnostic Radiology | Past | Accepting new patients |
| Advanced Diagnostic Imaging, PC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Plano, TX
- NPI 1427016161
-
- Internal Medicine Physician
- Goodlettsville, TN
- NPI 1093741464
Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459123200000",
"number": "1376587477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2469",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462062469",
"telephone_number": "800-945-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1323 S 27TH ST",
"address_2": "SUITE 700",
"city": "NEDERLAND",
"state": "TX",
"postal_code": "776276294",
"telephone_number": "409-729-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLENDON",
"first_name": "WILLIAM",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2016-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "14216",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "H0083",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3080304",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124755305",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nederland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.