Active NPI
William D Cagle, M.D.
- Clinical Neurophysiology Physician
- Manson, WA
National Provider Identifier
1477520682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- License
- MD00023398
- Practice address
- 92 Fishermen PL
Manson, WA 98831 - Phone
- (509) 860-7584
- NPI assigned
- Mar 7, 2006
- 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 |
|---|---|---|---|---|
| Clinical Neurophysiology Physician | 2084N0600X | MD00023398 | WA | Primary |
Addresses
Primary practice location
92 Fishermen PL
Manson, WA 98831
Mailing address
PO Box 2089
Chelan, WA 98816-2089
Phone (509) 860-7584
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1045798 | Medicaid | WA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highline Medical Group Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Burien, WA
- NPI 1982652400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593043200000",
"number": "1477520682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2089",
"city": "CHELAN",
"state": "WA",
"postal_code": "988162089",
"telephone_number": "509-860-7584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 FISHERMEN PL",
"city": "MANSON",
"state": "WA",
"postal_code": "98831",
"telephone_number": "509-860-7584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAGLE",
"first_name": "WILLIAM",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2020-06-25",
"certification_date": "2020-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "WA",
"license": "MD00023398",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1045798",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manson, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.