Individual provider Active NPI

William Douglas Anderson, MD

  • Emergency Medicine Physician
  • Gilmer, TX
National Provider Identifier
1417995291
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
H3365 Issued in TX
Practice address
712 N Wood St
Emergency Department
Gilmer, TX 75644-1751
Phone
(903) 841-7100
NPI assigned
Jun 3, 2006
Last updated
Mar 8, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X H3365 TX Primary

Addresses

Primary practice location

712 N Wood St
Emergency Department
Gilmer, TX 75644-1751

Mailing address

861 SW 78TH Ave
Suite 100B
Plantation, FL 33324-3229
Phone (954) 693-0000

Other names 1

  • Dr. William Anderson Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041021000361 TX Practitioner - Emergency MedicinePractitioner - Internal Medicine 4688635808 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
University of Tennessee, HSC, College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hill Regional Physician Group IncGroup PAC ID 6002220464, 27 clinicians

Practice addresses (Care Compare)

2600 W Pleasant Run Rd
Lancaster, TX 75146-1114
Phone (469) 297-5481

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H3365TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ies Central Texas PLLC Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Feb 8, 2017 Accepting new patients
Wellness & Care Group of Texas, Inc. CurrentSince Jan 1, 2018 Accepting new patients
Hill Regional Physician Group, Inc. CurrentSince Mar 27, 2024 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Feb 8, 2017 Accepting new patients
Concord North Texas, PLLC Emergency Medicine CurrentSince Sep 15, 2017 Accepting new patients
Terrell Emergency Physicians, PLLC Emergency Medicine Past Accepting new patients
Upshur Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients
Lamar Emergency Group PA Emergency Medicine Past Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine Past Accepting new patients
Limestone Emergency PA Emergency Medicine Past Accepting new patients
Texoma Emergency Physicians PLLC Emergency Medicine Past Accepting new patients

Locations

504 Lipscomb St
Bonham, TX 75418
Phone (903) 583-8585

5016 US Highway 75
Denison, TX 75020
Phone (855) 222-9637

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

101 Circle Dr
Hillsboro, TX 76645
Phone (254) 580-8500

21175 Tomball Pkwy
Houston, TX 77070
Phone (281) 251-5544

2600 W Pleasant Run Rd
Lancaster, TX 75146
Phone (469) 297-5321

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

22625 State Highway 249
Ste 450
Tomball, TX 77375
Phone (214) 506-1136

Organizations & group practices 12

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1417995291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 SW 78TH AVE",
            "address_2": "SUITE 100B",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243229",
            "telephone_number": "954-693-0000",
            "fax_number": "954-693-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 N WOOD ST",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "756441751",
            "telephone_number": "903-841-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "WILLIAM",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "H3365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "ANDERSON",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gilmer, TX

Sources for this page

Verify at the official NPI Registry.