Individual provider Active NPI

William J Washington, MD

  • Physical Medicine & Rehabilitation Physician
  • Canton, OH
National Provider Identifier
1659311546
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
35067920 Issued in OH
Practice address
4105 Holiday St NW
Canton, OH 44718-2531
Phone
(330) 494-2097
Fax
(330) 494-9750
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 35067920 OH Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 35067920 OH

Addresses

Primary practice location

4105 Holiday St NW
Canton, OH 44718-2531

Mailing address

4105 Holiday St NW
Canton, OH 44718-2531
Phone (330) 494-2097

Other identifiers 1

IdentifierTypeStateIssuer
2041561MedicaidOH

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
I20050224000975 OH Practitioner - Physical Medicine and RehabilitationPractitioner - Anesthesiology 7214980663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Anesthesiology
Education
University of Cincinnati College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2051 Wales Ave NW
Massillon, OH 44646-2393
Phone (330) 363-7462

2600 6TH St SW
Canton, OH 44710-1702
Phone (330) 438-6352

2600 W 6TH St
Canton, OH 44710-1702

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.62 of 100Reported as group
Quality
77.5
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35067920OHMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Hospital-Based Physicians Corporation CurrentSince Jan 1, 1999 Accepting new patients
Aultman Hospital Current Accepting new patients
Ohio Hospital-Based Physician Corporation CurrentSince Jan 1, 1999 Accepting new patients
Ohio Hospital-Based Physician Corporation Past Accepting new patients

Locations

2302 Fulton Rd NW
Canton, OH 44709
Phone (330) 454-7237

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

2051 Wales Ave NW
Massillon, OH 44646
Phone (330) 363-7462

6100 Whipple Ave NW
North Canton, OH 44720
Phone (330) 244-8778

Interoperability endpoints

  • Direct secure messaging: william.washington@direct.aultman.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1659311546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 HOLIDAY ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182531",
            "telephone_number": "330-494-2097",
            "fax_number": "330-494-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 HOLIDAY ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182531",
            "telephone_number": "330-494-2097",
            "fax_number": "330-494-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "35067920",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "OH",
            "license": "35067920",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2041561",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.