William T Conklin, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

MD022212E Issued in PA

Practice address

225 Penn Ave
Wilkinsburg, PA 15221-2148

Phone

(412) 923-7405

NPI assigned

Jun 2, 2006

Last updated

Sep 15, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473897600000",
    "number": "1629016860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 ASHBAUGH ROAD",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "15668",
            "telephone_number": "724-327-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 PENN AVE",
            "city": "WILKINSBURG",
            "state": "PA",
            "postal_code": "152212148",
            "telephone_number": "412-923-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONKLIN",
        "first_name": "WILLIAM",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2016-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "MD022212E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000990286",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Butler
• Emily Byce, MS, LPC, NCC
• Shannon Cavacino-Stead, RN
• Edward S Cheppa, D.M.D., P.C
• Christina Chukwuedo, NCC, LPC
• Elwin M Cotman, OD
• Sheila Marie Craig, RN
• Jaclyn Ava Deem, M.S., L.P.C.
• Jacqueline Lee Destro, C.R.N.P.
• Abigail Jean Dudzic, LPC

• Plastic Surgery Physician in Wilkinsburg, PA
• Providers in Wilkinsburg, PA by specialty
• Plastic Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; 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.