Active NPI
William Douglas Hiller
- Orthopaedic Surgery Physician
- Kamuela, HI
National Provider Identifier
1659429876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 8001A
- Practice address
- 67-1123 Mamalahoa Hwy
Suite 124
Kamuela, HI 96743-8451 - Phone
- (808) 881-4638
- Fax
- (808) 881-4632
- NPI assigned
- Jan 5, 2007
- Last updated
- Oct 14, 2016
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 8001A | WY | Primary |
Addresses
Primary practice location
67-1123 Mamalahoa Hwy
Suite 124
Kamuela, HI 96743-8451
Mailing address
1573 Mallory LN
Ste 100
Brentwood, TN 37027-2895
Phone (615) 221-3855
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05601101 | Medicaid | HI | |
| 00E006443 | Other | HI | HMSA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evanston Clinic Corp | Current | Accepting new patients | |
| Hiller Orthopedics | Orthopaedic Surgery | Past | Accepting new patients |
| Queens North Hawaii Community Hospital | Past | Accepting new patients |
Locations
196 Arrowhead Dr
Ste 2
Evanston, WY 82930
Phone (307) 783-8143
196 Arrowhead Dr
Ste 5
Evanston, WY 82930
Phone (307) 783-8364
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.
-
- Family Medicine Physician
- Evanston, WY
- NPI 1013916519
-
- Orthopaedic Surgery Physician
- Kamuela, HI
- NPI 1356548291
-
- General Acute Care Hospital
- Kamuela, HI
- NPI 1477559029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476403200000",
"number": "1659429876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1573 MALLORY LN",
"address_2": "STE 100",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370272895",
"telephone_number": "615-221-3855",
"fax_number": "615-221-1484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67-1123 MAMALAHOA HWY",
"address_2": "SUITE 124",
"city": "KAMUELA",
"state": "HI",
"postal_code": "967438451",
"telephone_number": "808-881-4638",
"fax_number": "808-881-4632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLER",
"first_name": "WILLIAM",
"middle_name": "DOUGLAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2016-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WY",
"license": "8001A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05601101",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "00E006443",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kamuela, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.