NPIMap

Individual provider Active NPI

William Fowler Mills, MD

  • Family Medicine Physician
  • Olean, NY
National Provider Identifier
1427045665
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
246061 Issued in NY
Practice address
500 Main Street
Olean, NY 14760
Phone
(716) 375-7500
Fax
(716) 362-9518
NPI assigned
Oct 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA04643400 NJ
Family Medicine Physician 207Q00000X 246061 NY Primary

Addresses

Primary practice location

500 Main Street
Olean, NY 14760

Mailing address

908 Niagara Falls Blvd
Ste 208
N Tonawanda, NY 14120
Phone (716) 692-2160

Other identifiers 4

IdentifierTypeStateIssuer
1168304MedicaidNJ
10629OtherAETNA/HMO
0109938000OtherAMERIHEALTH
4248043OtherAETNA PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080506000587 NY Practitioner - Family Practice 1254410913 Reassigns benefits to 2 organizations
I20230310000239 TX Practitioner - Family Practice 1254410913 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA04643400NJMDFamily Medicine Physician
246061NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ton Santa Rosa Health Center CurrentSince Nov 17, 2022 Accepting new patients
Olean General Hospital Family Medicine CurrentSince Aug 15, 2012 Accepting new patients
Olean General Hospital Current Accepting new patients
Ton San Xavier Health Center CurrentSince Nov 17, 2022 Accepting new patients
Ton Sells Hospital CurrentSince Nov 17, 2022 Accepting new patients
Health System Physician PC Family Medicine CurrentSince Feb 1, 2014 Accepting new patients
Ton San Simon Health Center CurrentSince Nov 17, 2022 Accepting new patients
Ton Sells Hospital Past Accepting new patients
Ton Santa Rosa Health Center Past Accepting new patients
Ton San Xavier Health Center Past Accepting new patients
Sleep Insights Medical Services, LLC PastSince Dec 1, 2015 Accepting new patients
Southern Tier Community Health Center Network, Inc. Family Medicine Past Accepting new patients

Locations

7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550

138 W Main St
Cuba, NY 14727
Phone (585) 968-0686

908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613

515 Main St
Olean, NY 14760
Phone (716) 373-2600

500 Main St
Olean, NY 14760
Phone (716) 373-2600

2666 W State St
Olean, NY 14760
Phone (716) 701-1700

4039 Route 219
Ste 101
Salamanca, NY 14779
Phone (716) 945-0361

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22039/brand/2/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1427045665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 NIAGARA FALLS BLVD",
            "address_2": "STE 208",
            "city": "N TONAWANDA",
            "state": "NY",
            "postal_code": "14120",
            "telephone_number": "716-692-2160",
            "fax_number": "716-362-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MAIN STREET",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "14760",
            "telephone_number": "716-375-7500",
            "fax_number": "716-362-9518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "WILLIAM",
        "middle_name": "FOWLER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA04643400",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "246061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1168304",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/HMO",
            "identifier": "10629",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0109938000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "4248043",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

Verify at the official NPI Registry.