Individual provider Active NPI

William Treanor Hosek, M.D.

  • Emergency Medicine Physician
  • Jacksonville, NC
National Provider Identifier
1558317453
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
D56957 Issued in MD
Practice address
317 Western Blvd
Dept of Emergency Medicine
Jacksonville, NC 28546-6338
Phone
(410) 577-2240
NPI assigned
May 25, 2006
Last updated
Jul 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X D56957 MD Primary

Addresses

Primary practice location

317 Western Blvd
Dept of Emergency Medicine
Jacksonville, NC 28546-6338

Mailing address

7208 Trailmark Dr
Wilmington, NC 28405-4792

Other identifiers 1

IdentifierTypeStateIssuer
23700100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100519000841 NC Practitioner - Emergency Medicine 9133258734 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
State University of New York at Buffalo School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medac Health Services PAGroup PAC ID 1254220809, 24 clinicians

Practice addresses (Care Compare)

4402 Shipyard Blvd
Wilmington, NC 28403-6161
Phone (910) 791-0075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medac Health Services, PA Emergency Medicine CurrentSince Aug 17, 2019 Accepting new patients
Medac Health Services, PA Emergency Medicine CurrentSince Aug 17, 2019 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Nov 17, 2015 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients

Locations

317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

1442 Military Cutoff Rd
Wilmington, NC 28403
Phone (910) 256-6088

2600 New Village Way
Wilmington, NC 28405
Phone (910) 251-5858

4402 Shipyard Blvd
Wilmington, NC 28403
Phone (910) 202-3363

5245 College Rd S
Wilmington, NC 28412
Phone (910) 392-7806

8115 Market St
Wilmington, NC 28411
Phone (910) 256-6088

8115 Market St
Ste 100
Wilmington, NC 28411
Phone (910) 256-6088

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1558317453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7208 TRAILMARK DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284054792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 WESTERN BLVD",
            "address_2": "DEPT OF EMERGENCY MEDICINE",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466338",
            "telephone_number": "410-577-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSEK",
        "first_name": "WILLIAM",
        "middle_name": "TREANOR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D56957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23700100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.