William Taylor Deeter III, MD

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

15853 Issued in SC

Practice address

1210 W Faris Rd
Greenville, SC 29605-4444

Phone

(864) 522-1800

Fax

(864) 522-1806

NPI assigned

Jan 27, 2006

Last updated

Dec 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

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.

• Greenville Health System

  dba GHS Patewood Memorial Hospital

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1568532513
  Medicare reassignment NPD
• Prisma Health Imaging Centers, LLC

  dba Prisma Health Imaging Center Orchard Park

  • Physiological Laboratory
  • Greenville, SC
  • NPI 1073366472
  NPD
• Prisma Health Imaging Centers, LLC

  dba PH Imaging Center Chapin

  • Physiological Laboratory
  • Chapin, SC
  • NPI 1336031079
  NPD
• Prisma Health Imaging Centers, LLC

  dba Prisma Health Imaging Center Sunset

  • Physiological Laboratory
  • West Columbia, SC
  • NPI 1518710912
  NPD
• Prisma Health-Upstate

  dba Prisma Health Laurens County Hospital

  • General Acute Care Hospital
  • Clinton, SC
  • NPI 1245786367
  NPD
• Easley M R I L L C

  • Diagnostic Radiology Physician
  • Easley, SC
  • NPI 1508836974
  NPD (past)
• Prisma Health-Upstate

  dba Prisma Health OP Surgery Spartanburg

  • General Acute Care Hospital
  • Spartanburg, SC
  • NPI 1629432869
  NPD (past)

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1427029578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 W FARIS RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054444",
            "telephone_number": "864-522-1800",
            "fax_number": "864-522-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEETER",
        "first_name": "WILLIAM",
        "middle_name": "TAYLOR",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "15853",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "SC",
            "license": "15853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158536",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00810913",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wdeeter31599@direct.ghs.myhfn.org",
            "affiliation": "N",
            "address_1": "1210 W Faris Rd",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296054444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wdeeter31599@direct.ghs.myhfn.org",
            "affiliation": "N",
            "address_1": "1210 W Faris Rd",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296054444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dedicated Therapy Associates, LLC (Dedicated Therapy)
• Jessie Deer, RN
• Kelsey Llamar Deer Jr.
• Jamey Billy Deering Jr., CRNA
• Markella Delios Deering, CRNA
• Casandra Victoria Deets
• Isabella Mia Defilippo, OTR
• Francis Defoe
• Judith Defoor, CCC-SLP
• Caitlyn E Deforge

• Vascular & Interventional Radiology Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Vascular & Interventional Radiology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.