Individual provider Active NPI

William Douglas Hiller

  • Orthopaedic Surgery Physician
  • Kamuela, HI
National Provider Identifier
1659429876
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
8001A Issued in WY
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
05601101MedicaidHI
00E006443OtherHIHMSA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090326000258 WY Practitioner - Orthopedic Surgery 2062303100 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Evanston Clinic Corp CurrentSince Sep 15, 2016 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.

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

Verify at the official NPI Registry.