Organization Active NPI

William R. East MD, P.a.

  • Dermatology Physician
  • Amarillo, TX
National Provider Identifier
1609055128
Registry record updated Feb 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D2215 Issued in TX
Legal business name
WILLIAM R. EAST MD, P.A.
Practice address
5211 W 9TH Ave Ste 103
Amarillo, TX 79106-4149
Phone
(806) 355-7421
Fax
(806) 358-2381
NPI assigned
Oct 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2010

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

Authorized official

Name
Lena Callaway
Title
Billing Manager
Phone
(806) 355-7421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X D2215 TX Primary

Addresses

Primary practice location

5211 W 9TH Ave Ste 103
Amarillo, TX 79106-4149

Mailing address

5211 W 9TH Ave Ste 103
Amarillo, TX 79106-4149
Phone (806) 355-7421

National Provider Directory

National Provider Directory

Locations

5211 W 9th Ave
Ste 103
Amarillo, TX 79106
Phone (806) 355-7421

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1609055128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5211 W 9TH AVE STE 103",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791064149",
            "telephone_number": "806-355-7421",
            "fax_number": "806-358-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 W 9TH AVE STE 103",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791064149",
            "telephone_number": "806-355-7421",
            "fax_number": "806-358-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM R. EAST MD, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "CALLAWAY",
        "authorized_official_first_name": "LENA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "806-355-7421"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "D2215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.