Active NPI
William Maass, DO
- Family Medicine Physician
- Eglin Afb, FL
National Provider Identifier
1538722525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 05047
- Practice address
- 100 Veterans Way
Eglin Afb, FL 32542-1038 - Phone
- (850) 609-2600
- Fax
- (850) 609-2613
- NPI assigned
- Apr 16, 2019
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 05047 | KY | Primary |
Addresses
Primary practice location
100 Veterans Way
Eglin Afb, FL 32542-1038
Mailing address
100 Veterans Way
Eglin Afb, FL 32542-1038
Phone (850) 609-2600
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05047 | KY | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666742400000",
"number": "1538722525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 VETERANS WAY",
"city": "EGLIN AFB",
"state": "FL",
"postal_code": "325421038",
"telephone_number": "850-609-2600",
"fax_number": "850-609-2613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 VETERANS WAY",
"city": "EGLIN AFB",
"state": "FL",
"postal_code": "325421038",
"telephone_number": "850-609-2600",
"fax_number": "850-609-2613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAASS",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-16",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "05047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eglin Afb, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.