Active NPI
William Malcolm Jamieson III, MD
- Gynecology Physician
- Mason, OH
National Provider Identifier
1639287279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 36174
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0303095 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 36174 | OH | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Christ Hospital Medical Associates, LLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
dba Tchma
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1114107919
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.