Individual provider Active NPI

William R Storo, M.D.

  • Pediatrics Physician
  • Bluffton, SC
National Provider Identifier
1467473850
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
9440 Issued in NH
Practice address
167 Bluffton Rd
Bluffton, SC 29910-6227
Phone
(843) 757-8663
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 9440 NH Primary

Addresses

Primary practice location

167 Bluffton Rd
Bluffton, SC 29910-6227

Mailing address

167 Bluffton Rd
Bluffton, SC 29910-6227
Phone (843) 757-8663

Other identifiers 2

IdentifierTypeStateIssuer
30008445MedicaidNH
3074346MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9440NHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seaside Pediatrics of Bluffton, PC Pediatrics Past Accepting new patients
Hilton Head Medical Center LLC Past Accepting new patients
Sweetgrass Pediatrics Pediatrics Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1467473850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 BLUFFTON RD",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106227",
            "telephone_number": "843-757-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 BLUFFTON RD",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106227",
            "telephone_number": "843-757-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORO",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NH",
            "license": "9440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30008445",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3074346",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.