Active NPI
William Fish Marsteller III, D.C.
- Chiropractor
- Centerville, OH
National Provider Identifier
1548252893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 999
- Practice address
- 145 S Main St
Centerville, OH 45458-2370 - Phone
- (937) 433-4800
- Fax
- (937) 433-2618
- NPI assigned
- Aug 22, 2005
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 999 | OH | Primary |
Addresses
Primary practice location
145 S Main St
Centerville, OH 45458-2370
Mailing address
145 S Main St
Centerville, OH 45458-2370
Phone (937) 433-4800
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9503227001 | Other | OH | CIGNA |
| 000000010694 | Other | OH | ANTHEM BC/BS PIN |
| 0660735 | Medicaid | OH | |
| 311072809 1211 | Other | OH | ANTHEM ADVANTAGE |
| 311072809-00 | Other | OH | OHIO BWC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120228000447 | OH | Practitioner - Chiropractic | 3476711011 | Practice locations: Centerville, OH |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 999 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerville Chiropractic I | Chiropractor | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548252893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 S MAIN ST",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454582370",
"telephone_number": "937-433-4800",
"fax_number": "937-433-2618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 S MAIN ST",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454582370",
"telephone_number": "937-433-4800",
"fax_number": "937-433-2618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSTELLER",
"first_name": "WILLIAM",
"middle_name": "FISH",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "999",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9503227001",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS PIN",
"identifier": "000000010694",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0660735",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM ADVANTAGE",
"identifier": "311072809 1211",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO BWC",
"identifier": "311072809-00",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.