Individual provider Active NPI

William Harry Sammond, MD

  • Internal Medicine Physician
  • Coeur d'Alene, ID
National Provider Identifier
1396886800
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M-12799 Issued in ID
Practice address
1130 W Prairie Ave
Coeur D Alene, ID 83815-8780
Phone
(208) 209-0288
Fax
(208) 209-0289
NPI assigned
Feb 8, 2007
Last updated
Jan 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M-12799 ID Primary
Cardiovascular Disease Physician 207RC0000X M-12799 ID
Cardiovascular Disease Physician 207RC0000X MD00032442 WA
Interventional Cardiology Physician 207RI0011X MD-11459 HI
Hospitalist Physician 208M00000X M-12799 ID

Addresses

Primary practice location

1130 W Prairie Ave
Coeur D Alene, ID 83815-8780

Mailing address

1000 Lincoln St
Suite 207
Fort Morgan, CO 80701-3290
Phone (970) 237-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20040723001138 WA Practitioner - Cardiovascular Disease (Cardiology) 1557341039 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00032442WAMDCardiovascular Disease Physician
MD-11459HIMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Native Project CurrentSince Jul 4, 2018 Accepting new patients
Providence Health & Services-Wa Past Accepting new patients
Santibanez Aguirre SLC PC Hospitalist Past Accepting new patients
Inland Cardiology Associates, P.S. Cardiovascular Disease PastSince Aug 25, 2014 Accepting new patients
Utah Regional Hospitalists LLC Hospitalist Past Accepting new patients

Locations

1803 W Maxwell Ave
Spokane, WA 99201
Phone (509) 325-5502

1803 W Maxwell Ave
Ste 660
Spokane, WA 99201

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1396886800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LINCOLN ST",
            "address_2": "SUITE 207",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807013290",
            "telephone_number": "970-237-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 W PRAIRIE AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158780",
            "telephone_number": "208-209-0288",
            "fax_number": "208-209-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMMOND",
        "first_name": "WILLIAM",
        "middle_name": "HARRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "M-12799",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "ID",
            "license": "M-12799",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD00032442",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "HI",
            "license": "MD-11459",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ID",
            "license": "M-12799",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

Verify at the official NPI Registry.