Active NPI
William Demora
- Physician Assistant
- Ambler, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA057767
- Practice address
- 511 Lincoln Dr W
Ambler, PA 19002-3812 - Phone
- (717) 419-9402
- NPI assigned
- Sep 15, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA057767 | PA | Primary |
Addresses
Primary practice location
511 Lincoln Dr W
Ambler, PA 19002-3812
Mailing address
511 Lincoln Dr W
Ambler, PA 19002-3812
Phone (717) 419-9402
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| $$$$$$$$$ | Other | PA | SOCIAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
113 Butler Ave
Lancaster, PA 17601-6313
Phone (717) 391-3087
15 Freeport Rd
Suite 100
Pittsburgh, PA 15215-2990
Phone (412) 784-1551
241 Rohrerstown Rd
Suite 200
Lancaster, PA 17603-2230
Phone (717) 431-1770
4200 Union Deposit Rd
Harrisburg, PA 17111-2801
Phone (717) 558-6708
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care P.a . | Current | Accepting new patients | |
| American Current Care P.a. | Current | Accepting new patients |
Locations
2010 Levick St
Philadelphia, PA 19149
Phone (215) 537-4755
15 Freeport Rd
Ste 100
Pittsburgh, PA 15215
Phone (412) 784-1551
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Carlisle, PA
- NPI 1386122828
-
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1376356568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590624000000",
"number": "1447629944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 LINCOLN DR W",
"city": "AMBLER",
"state": "PA",
"postal_code": "190023812",
"telephone_number": "717-419-9402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 LINCOLN DR W",
"city": "AMBLER",
"state": "PA",
"postal_code": "190023812",
"telephone_number": "717-419-9402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMORA",
"first_name": "WILLIAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-15",
"last_updated": "2020-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA057767",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL",
"identifier": "$$$$$$$$$",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ambler, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.