Active NPI
William Stewart Powell, M.D.
- Urology Physician
- Rutherfordton, NC
National Provider Identifier
1528064615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 38411
- Practice address
- 141 Tryon Rd
Suite B
Rutherfordton, NC 28139-3099 - Phone
- (828) 286-1445
- Fax
- (828) 286-1443
- NPI assigned
- Jun 23, 2005
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 38411 | NC | Primary |
Addresses
Primary practice location
141 Tryon Rd
Suite B
Rutherfordton, NC 28139-3099
Mailing address
2234 Colonial Blvd
Attn: Managed Care Dept.
Fort Myers, FL 33907-1412
Phone (239) 931-7342
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8968686 | Medicaid | NC | |
| 68686 | Other | NC | BLUE CROSS BLUE SHIELD OF NORTH CAROLINA |
| P00940479 | Other | NC | RAILROAD MEDICARE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 38411 | NC | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foothills Urology, P.a. | Urology | Current | Accepting new patients |
Locations
141 Tryon Rd
Ste B
Rutherfordton, NC 28139
Phone (704) 286-1445
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.
-
- Urology Physician
- Rutherfordton, NC
- NPI 1518963164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342569600000",
"number": "1528064615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2234 COLONIAL BLVD",
"address_2": "ATTN: MANAGED CARE DEPT.",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339071412",
"telephone_number": "239-931-7342",
"fax_number": "239-931-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 TRYON RD",
"address_2": "SUITE B",
"city": "RUTHERFORDTON",
"state": "NC",
"postal_code": "281393099",
"telephone_number": "828-286-1445",
"fax_number": "828-286-1443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "WILLIAM",
"middle_name": "STEWART",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-23",
"last_updated": "2012-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NC",
"license": "38411",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8968686",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF NORTH CAROLINA",
"identifier": "68686",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00940479",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rutherfordton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.