William Carter Vallin, PA C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601001472 Issued in MI

Practice address

1414 West Fair Avenue
Suite 342
Marquette, MI 49855

Phone

(906) 225-3870

Fax

(906) 225-3975

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1629005525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 WEST FAIR AVENUE",
            "address_2": "SUITE 342",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "49855",
            "telephone_number": "906-225-3870",
            "fax_number": "906-225-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 WEST FAIR AVENUE",
            "address_2": "SUITE 342",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "49855",
            "telephone_number": "906-225-3870",
            "fax_number": "906-225-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLIN",
        "first_name": "WILLIAM",
        "middle_name": "CARTER",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601001472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "970031185",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tabitha Utych
• Ivy Marie Vachon
• Diane Valenzio, B.S.N., M.S.N.
• Toni Valesano, RN
• Bethany Ann Vallar, D.C.
• James Edward Van Eck III
• Jessica Van Overloop
• Colin D Van, CADC
• Hendrik C Vandenende, MD
• Nina Rae Vandenende, NP

• Physician Assistant in Marquette, MI
• Providers in Marquette, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.