William T Kellogg, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD014290E Issued in PA

Practice address

201 E Laurel Blvd
Pottsville, PA 17901-2534

Phone

(570) 628-4444

Fax

(570) 628-3088

NPI assigned

Jun 27, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• Progressive Vision Institute of Philadelphia, PC

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1205878915
  NPD
• Temple Health System Transport Team, Inc.

  • Land Ambulance
  • Philadelphia, PA
  • NPI 1972536480
  NPD (past)

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260403200000",
    "number": "1417953134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E LAUREL BLVD",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012534",
            "telephone_number": "570-628-4444",
            "fax_number": "570-628-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E LAUREL BLVD",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012534",
            "telephone_number": "570-628-4444",
            "fax_number": "570-628-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLOGG",
        "first_name": "WILLIAM",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2009-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD014290E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Kaup
• Abigail Rose Kayes, MS OTR/L
• Margaret Keifer
• Samantha Rose Keifer, PT, DPT
• Aurora Danielle Kellmer
• Cassandra Kessock, DO
• Keystone Surgery Center, LTD
• Mahnoor Aitzaz Khan, MD
• Ayman Mohsen Khanafer
• Abdelmohsen Kholoussy, MD

• Ophthalmology Physician in Pottsville, PA
• Providers in Pottsville, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.