Individual provider Active NPI

William W O'Nan, M.D.

  • Obstetrics & Gynecology Physician
  • Henderson, KY
National Provider Identifier
1619944428
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
17430 Issued in KY
Practice address
319 8TH St
Henderson, KY 42420-2963
Phone
(270) 869-9888
Fax
(270) 869-9129
NPI assigned
Mar 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 17430 KY Primary

Addresses

Primary practice location

319 8TH St
Henderson, KY 42420-2963

Mailing address

319 8TH St
Henderson, KY 42420-2963
Phone (270) 869-9888

Other identifiers 2

IdentifierTypeStateIssuer
000000299875OtherKYANTHEM BC & BS
64174303MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20180301002320 IN Practitioner - Obstetrics/Gynecology 1456491646 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Indiana, PC Obstetrics & Gynecology CurrentSince Jan 27, 2018 Accepting new patients
John B Rashidian M.D.,PSC Past Accepting new patients
Summit Medical Specialists PSC Obstetrics & Gynecology Past Accepting new patients

Locations

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

Organizations & group practices 3

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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1619944428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 8TH ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202963",
            "telephone_number": "270-869-9888",
            "fax_number": "270-869-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 8TH ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202963",
            "telephone_number": "270-869-9888",
            "fax_number": "270-869-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NAN",
        "first_name": "WILLIAM",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "17430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC & BS",
            "identifier": "000000299875",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64174303",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, KY

Sources for this page

Verify at the official NPI Registry.