William Ewing Palmer Jr., M, D.
Individual provider Active NPI Diagnostic Radiology Physician · Rector, PA
NPI 1508136805 · NPPES record last updated Jan 5, 2012
Key facts
- NPI
- 1508136805
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- MD026317L (PA)
- Practice address
- 2199 Route 381
Rector, PA 15677-1609 - Phone
- (724) 593-2216
- NPI assigned
- Jan 4, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151221000511 | PA | Order and Referring Only - Diagnostic Radiology |
2769408913 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cambria Somerset Radiology & Nuclear Medicine Group, Inc. | Diagnostic Radiology | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD026317L | PA | Yes |
Addresses
Primary practice location
2199 Route 381
Rector, PA 15677-1609
Mailing address
2199 Route 381
Rector, PA 15677-1609
Phone (724) 593-2216
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.