Individual provider Active NPI

William M Rambo Jr., M.D.

  • Neurological Surgery Physician
  • Columbia, SC
National Provider Identifier
1619079753
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
17148 Issued in SC
Practice address
1910 Blanding St
Columbia, SC 29201-3520
Phone
(803) 256-4107
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 17148 SC Primary

Addresses

Primary practice location

1910 Blanding St
Columbia, SC 29201-3520

Mailing address

1910 Blanding St
Columbia, SC 29201-3520
Phone (803) 256-4107

Other identifiers 1

IdentifierTypeStateIssuer
171487MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, MO, AR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20101027001175 SC Practitioner - Neurosurgery 6002018447 Reassigns benefits to 3 organizations
I20180718003696 MO Practitioner - Neurosurgery 6002018447 Reassigns benefits to 1 organization
I20211018000449 AR Practitioner - Neurosurgery 6002018447 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Medical University of South Carolina College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Joplin LLCGroup PAC ID 0547300196, 288 clinicians

Practice addresses (Care Compare)

100 Mercy Way
Joplin, MO 64804-4524
Phone (417) 556-8455

7001 Rogers Ave
Suite 501
Fort Smith, AR 72903-4073
Phone (479) 573-3101

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Fort Smith Communities CurrentSince Oct 11, 2021 Accepting new patients
Anmed Health CurrentSince Apr 14, 2018 Accepting new patients
Anmed Health Neurological Surgery CurrentSince Apr 14, 2018 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Oct 11, 2021 Accepting new patients
Mercy Health Northwest Arkansas Communities Current Accepting new patients
McLeod Physician Associates II CurrentSince Apr 7, 2022 Accepting new patients
Anmed Health Current Accepting new patients
McLeod Physician Associates II CurrentSince Apr 7, 2022 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Oct 11, 2021 Accepting new patients
Mercy Clinic Joplin LLC CurrentSince Feb 1, 2020 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Oct 11, 2021 Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

7001 Rogers Ave
Ste 501
Fort Smith, AR 72903
Phone (479) 274-2370

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

2708 S Rife Medical Ln
Ste 140
Rogers, AR 72758
Phone (479) 338-3720

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

100 Mercy Way
Ste 520
Joplin, MO 64804
Phone (417) 556-6876

2000 E Greenville St
Fl 3
Anderson, SC 29621
Phone (864) 225-5131

109 Montgomery Dr
Anderson, SC 29621
Phone (803) 224-5700

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

Interoperability endpoints

  • Direct secure messaging: william.rambo.1@5499.direct.athenahealth.com
  • Direct secure messaging: william.rambo@hca2.eclinicaldirectplus.com

Organizations & group practices 12

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1619079753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 BLANDING ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013520",
            "telephone_number": "803-256-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 BLANDING ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013520",
            "telephone_number": "803-256-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMBO",
        "first_name": "WILLIAM",
        "middle_name": "M",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "SC",
            "license": "17148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171487",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.