Individual provider Active NPI

William K Mayfield, MD

  • Obstetrics & Gynecology Physician
  • Vincennes, IN
National Provider Identifier
1619974284
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01036429A Issued in IN
Practice address
700 Willow St Ste 203
Vincennes, IN 47591-1029
Phone
(812) 882-1000
Fax
(812) 885-1004
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Obstetrics & Gynecology Physician 207V00000X 01036429A IN Primary

Addresses

Primary practice location

700 Willow St Ste 203
Vincennes, IN 47591-1029

Mailing address

1160 E Saint Clair St
Vincennes, IN 47591-4853
Phone (812) 885-3325

Other practice location 1

520 S 7th St
Vincennes, IN 47591-1038
Phone (812) 882-5220

Other identifiers 2

IdentifierTypeStateIssuer
000000350322OtherANTHEM
200040760AMedicaidIN

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
I20041227000388 IN Practitioner - Obstetrics/Gynecology 8527026392 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Hospital Physician Services, Inc Obstetrics & Gynecology Current Accepting new patients
Good Samaritan Hospital Physicians Services Inc CurrentSince Sep 1, 2013 Accepting new patients
Good Samaritan Hospital CurrentSince Sep 1, 2013 Accepting new patients
Major Hospital Past Accepting new patients
William K. Mayfield Specialist PastSince Jan 1, 1990 Accepting new patients

Locations

2137 E Main St
Robinson, IL 62454
Phone (618) 544-8714

1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131

1000 N Allen St
Ste 3
Robinson, IL 62454
Phone (618) 544-8714

1160 E Saint Clair St
Vincennes, IN 47591
Phone (812) 882-1064

700 Willow St
Ste 201
Vincennes, IN 47591
Phone (812) 882-0023

625 S 7th St
Vincennes, IN 47591
Phone (812) 885-0041

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

700 Willow St
Ste 203
Vincennes, IN 47591
Phone (812) 882-1000

Interoperability endpoints

  • Direct secure messaging: wmayfield122379@direct.deaconess.com

Organizations & group practices 5

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": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1619974284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 E SAINT CLAIR ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475914853",
            "telephone_number": "812-885-3325",
            "fax_number": "128-858-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WILLOW ST STE 203",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911029",
            "telephone_number": "812-882-1000",
            "fax_number": "812-885-1004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 S 7th St",
            "address_purpose": "LOCATION",
            "city": "Vincennes",
            "state": "IN",
            "postal_code": "475911038",
            "country_code": "US",
            "telephone_number": "812-882-5220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYFIELD",
        "first_name": "WILLIAM",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01036429A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000350322",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200040760A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

Verify at the official NPI Registry.