Active NPI
William Fort Crosswell, MD
- Retina Specialist (Ophthalmology) Physician
- Columbia, SC
National Provider Identifier
1457301996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- 6356
- Practice address
- 1920 Pickens St
Columbia, SC 29201 - Phone
- (803) 779-3070
- Fax
- (803) 771-7639
- NPI assigned
- May 12, 2006
- Last updated
- Aug 17, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 6356 | SC | Primary |
Addresses
Primary practice location
1920 Pickens St
Columbia, SC 29201
Mailing address
1920 Pickens St
Columbia, SC 29201-2632
Phone (803) 779-3070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 063567 | Medicaid | SC |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6356 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Eye Clinic PA | Retina Specialist | Current | Accepting new patients |
Locations
100 Summit Centre Dr
Columbia, SC 29229
Phone (803) 252-8566
1920 Pickens St
Columbia, SC 29201
Phone (803) 254-7732
100 Palmetto Park Blvd
Lexington, SC 29072
Phone (803) 806-0075
Interoperability endpoints
- william.crosswell.p1@direct.columbiaeyeclinic.nextgenshare.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597622400000",
"number": "1457301996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 PICKENS ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012632",
"telephone_number": "803-779-3070",
"fax_number": "803-771-7639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 PICKENS ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29201",
"telephone_number": "803-779-3070",
"fax_number": "803-771-7639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSSWELL",
"first_name": "WILLIAM",
"middle_name": "FORT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "SC",
"license": "6356",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "063567",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
- Margaret Ann Crossen, MS,RD,LD
- Crossroads Treatment Center of Columbia
- Crossroads Treatment Center of Columbia, PC
- Edward Granderson Crosswell, MD
- Hal Holland Crosswell III, MD
- Keith Morris Crosswhite, PHYSICAL THERAPIST
- Rodney Webb Crouch Sr., LMT
- Emily Anne Crounse, PHARMD
- Katherine Crow, NURSE PRACTITIONER
- Sandra Crow, RN BCCNS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.