Individual provider Active NPI

William Nottingham Jr., MD

  • Internal Medicine Physician
  • Wilmington, DE
National Provider Identifier
1649213836
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C10001980 Issued in DE
Practice address
1941 Limestone Rd
Suite 215
Wilmington, DE 19808-5408
Phone
(302) 998-0900
Fax
(302) 998-2628
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C10001980 DE Primary

Addresses

Primary practice location

1941 Limestone Rd
Suite 215
Wilmington, DE 19808-5408

Mailing address

PO Box 5930
Wilmington, DE 19808-0930
Phone (302) 993-2453

Other identifiers 1

IdentifierTypeStateIssuer
0001171301MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C10001980DEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Diagnostic Services, Inc. PastSince Apr 1, 1998 Accepting new patients
Limestone Medical Aid Unit, LLC Past Accepting new patients
Regional Medical Group LLC PastSince Mar 1, 2013 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1649213836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5930",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198080930",
            "telephone_number": "302-993-2453",
            "fax_number": "302-993-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 LIMESTONE RD",
            "address_2": "SUITE 215",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085408",
            "telephone_number": "302-998-0900",
            "fax_number": "302-998-2628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOTTINGHAM",
        "first_name": "WILLIAM",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C10001980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001171301",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.