Active NPI
William Lawrence Yancey, M.D.
- Pain Medicine (Anesthesiology) Physician
- Shenandoah, TX
National Provider Identifier
1396989067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- P6117
- Practice address
- 9200 Pinecroft Dr
Ste 330
Shenandoah, TX 77380-3279 - Phone
- (346) 351-2948
- NPI assigned
- Apr 27, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | P6117 | TX | |
| Anesthesiology Physician | 207L00000X | BP1-0034754 | TX | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | P6117 | TX | Primary |
Addresses
Primary practice location
9200 Pinecroft Dr
Ste 330
Shenandoah, TX 77380-3279
Mailing address
28803 Dobbin Huffsmith Rd
Magnolia, TX 77354-6474
Phone (870) 219-6941
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Texas Southwestern Medical School at Dallas, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9200 Pinecroft Dr
Suite 330
Shenandoah, TX 77380-3279
Phone (346) 351-2948
Hospital & facility affiliations
- Memorial Hermann Hospital System
- Memorial Hermann - Texas Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP1-0034754 | TX | MD | Anesthesiology Physician |
| P6117 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utmb Faculty Group Practice | Anesthesiology | Current | Accepting new patients |
| Yancey Pain & Spine, LLLP | Pain Medicine | Current | Accepting new patients |
Locations
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
6560 Fannin St
Ste 1016
Houston, TX 77030
Phone (713) 610-4270
9200 Pinecroft Dr
Ste 330
Shenandoah, TX 77380
Phone (346) 351-2948
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.
-
- Pain Medicine (Anesthesiology) Physician
- Shenandoah, TX
- NPI 1629628672
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Houston, TX
- NPI 1437189115
Hospital
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
-
- General Acute Care Hospital
- Houston, TX
- NPI 1982666111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578182400000",
"number": "1396989067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28803 DOBBIN HUFFSMITH RD",
"city": "MAGNOLIA",
"state": "TX",
"postal_code": "773546474",
"telephone_number": "870-219-6941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 PINECROFT DR",
"address_2": "STE 330",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773803279",
"telephone_number": "346-351-2948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANCEY",
"first_name": "WILLIAM",
"middle_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-27",
"last_updated": "2020-01-05",
"certification_date": "2020-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "P6117",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "BP1-0034754",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "TX",
"license": "P6117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.