Active NPI
William R Bast, MD
- Urology Physician
- Hanover, PA
National Provider Identifier
1558368019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD 015215 E
- Practice address
- 100 Penn St
Hanover, PA 17331-1956 - Phone
- (717) 632-3220
- Fax
- (717) 632-3220
- NPI assigned
- Jun 30, 2005
- Last updated
- Jun 12, 2008
- 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 | MD 015215 E | PA | Primary |
Addresses
Primary practice location
100 Penn St
Hanover, PA 17331-1956
Mailing address
100 Penn St
Hanover, PA 17331-1956
Phone (717) 632-3220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 158603X9S | Other | PA | MEDICARE PTAN |
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 |
|---|---|---|---|
| MD 015215 E | PA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213228800000",
"number": "1558368019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PENN ST",
"city": "HANOVER",
"state": "PA",
"postal_code": "173311956",
"telephone_number": "717-632-3220",
"fax_number": "717-632-3220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PENN ST",
"city": "HANOVER",
"state": "PA",
"postal_code": "173311956",
"telephone_number": "717-632-3220",
"fax_number": "717-632-3220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAST",
"first_name": "WILLIAM",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2008-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "PA",
"license": "MD 015215 E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "158603X9S",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hanover, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.