William Hamilton Thetford, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO3911 Issued in FL

Practice address

2540 Winkler Ave
Fort Myers, FL 33901-9338

Phone

(239) 278-4100

Fax

(239) 278-3907

NPI assigned

Jun 30, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Barry University School of Podiatric Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associates in Medicine and Surgery LLCGroup PAC ID 8123167723, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gulf Coast Medical Center Lee Health Hospital, Fort Myers, FL, CCN 100220
• Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
• Naples Community Hospital Hospital, Naples, FL, CCN 100018

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Associates in Medicine & Surgery LLC

  • Foot & Ankle Surgery Podiatrist
  • Fort Myers, FL
  • NPI 1386884385
  Medicare reassignment Care Compare group NPD
• John F Torregrosa DPM PA Inc

  • Foot & Ankle Surgery Podiatrist
  • Tavernier, FL
  • NPI 1346562105
  Medicare reassignment NPD
• Timothy C. Runyon, D.P.M. P.a.

  • Non-Pharmacy Dispensing Site
  • St. Petersburg, FL
  • NPI 1093869851

  Foot & Ankle Surgery

  Medicare reassignment NPD
• Timothy C. Runyon, DPM, PA

  • Non-Pharmacy Dispensing Site
  • Fort Myers, FL
  • NPI 1023784188

  Foot & Ankle Surgery

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lee Health System Inc

  • General Acute Care Hospital
  • Fort Myers, FL
  • NPI 1366281750
  Care Compare affiliation
• Lee Health System Inc

  • General Acute Care Hospital
  • Fort Myers, FL
  • NPI 1427806025
  Care Compare affiliation
• Naples Community Hospital Inc

  • General Acute Care Hospital
  • Naples, FL
  • NPI 1720085137
  Care Compare affiliation

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1497983241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 WINKLER AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019338",
            "telephone_number": "239-278-4100",
            "fax_number": "239-278-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 WINKLER AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019338",
            "telephone_number": "239-278-4100",
            "fax_number": "239-278-3907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12681 New Brittany Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339073631",
            "country_code": "US",
            "telephone_number": "239-689-3843",
            "fax_number": "239-689-3843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1003 Del Prado Blvd S",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339903601",
            "country_code": "US",
            "telephone_number": "239-689-3843",
            "fax_number": "239-689-3852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THETFORD",
        "first_name": "WILLIAM",
        "middle_name": "HAMILTON",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "DPM785",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q020059",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Therapeutic Skin Care and Massage Center
• Therapy First LLC
• Therapy Treatment Team LLC
• Therapy Treatment Team, LLC
• Mark Thetford
• Donald W. Thibodeau, B.S., R.PH., PHARMD
• Jenna Dees Thibodeau, P.A.-C
• Hannah Marie Thielman, LMHC
• Tracy Thigpen
• Suparna Thind, MD

• Foot & Ankle Surgery Podiatrist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.

Verify at the official NPI Registry.