Individual provider Active NPI

William Malcolm Jamieson III, MD

  • Gynecology Physician
  • Mason, OH
National Provider Identifier
1639287279
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
36174 Issued in OH
Practice address
4834 Socialville Foster Rd Ste 60
Mason, OH 45040-6805
Phone
(513) 229-8010
Fax
(513) 229-8014
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 36174 OH Primary

Addresses

Primary practice location

4834 Socialville Foster Rd Ste 60
Mason, OH 45040-6805

Mailing address

11595 N Meridian St Ste 375
Carmel, IN 46032-3950
Phone (317) 575-7304

Other practice location 1

2123 Auburn Ave
104
Cincinnati, OH 45219
Phone (513) 241-7744

Other identifiers 1

IdentifierTypeStateIssuer
0303095MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wjamieson@shwhc.gwaydirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100112000681 OH Practitioner - Obstetrics/Gynecology 9638210669 Practice locations: Cincinnati, OH

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36174OHMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Christ Hospital Medical Associates, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: wjamieson@shwhc.gwaydirect.com

Organizations & group practices 1

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1639287279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11595 N MERIDIAN ST STE 375",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323950",
            "telephone_number": "317-575-7304",
            "fax_number": "317-575-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4834 SOCIALVILLE FOSTER RD STE 60",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406805",
            "telephone_number": "513-229-8010",
            "fax_number": "513-229-8014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2123 Auburn Ave",
            "address_2": "104",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "45219",
            "country_code": "US",
            "telephone_number": "513-241-7744",
            "fax_number": "513-241-4999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMIESON",
        "first_name": "WILLIAM",
        "middle_name": "MALCOLM",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OH",
            "license": "36174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0303095",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wjamieson@shwhc.gwaydirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4834 Socialville Foster Rd Ste 60",
            "city": "Mason",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450406805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.