Individual provider Active NPI

William A. Earman Jr., D.O.

  • Orthopaedic Surgery of the Spine Physician
  • Palos Heights, IL
National Provider Identifier
1679526941
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
036073708 Issued in IL
Practice address
6450 W College Drive
Palos Heights, IL 60463-1774
Phone
(708) 389-1500
Fax
(708) 389-3322
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 036073708 IL Primary

Addresses

Primary practice location

6450 W College Drive
Palos Heights, IL 60463-1774

Mailing address

12251 S 80TH Ave Ste 1630
Palos Heights, IL 60463-1256
Phone (708) 923-5173

Other practice location 1

12251 S 80th Ave Ste 1630
Palos Heights, IL 60463-1256
Phone (708) 923-5173

Other identifiers 1

IdentifierTypeStateIssuer
036073708MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20071218000291 IL Practitioner - Orthopedic Surgery 7113017864

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as apm
Quality
88.47
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036073708ILMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley West Community Hospital PastSince Sep 1, 2024 Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Northwestern Medicine Delnor Community HospitalGeneva, IL, CCN 140211 Hospital Corporate Director Sep 1, 2024
Northwestern Medicine Valley West HospitalSandwich, IL, CCN 141340 Hospital Corporate Director Sep 1, 2024
Northwestern Medicine McHenry HospitalMcHenry, IL, CCN 140116 Hospital Corporate Director Sep 1, 2024
Northwestern Medicine McHenry HospitalWoodstock, IL, CCN 14T116 Hospital Corporate Director Sep 1, 2024
Northwestern Medicine Valley West HospitalSandwich, IL, CCN 14Z340 Hospital Corporate Director Sep 1, 2024

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1679526941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12251 S 80TH AVE STE 1630",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631256",
            "telephone_number": "708-923-5173",
            "fax_number": "708-923-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 W COLLEGE DRIVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631774",
            "telephone_number": "708-389-1500",
            "fax_number": "708-389-3322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12251 S 80th Ave Ste 1630",
            "address_purpose": "LOCATION",
            "city": "Palos Heights",
            "state": "IL",
            "postal_code": "604631256",
            "country_code": "US",
            "telephone_number": "708-923-5173",
            "fax_number": "708-923-5108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EARMAN",
        "first_name": "WILLIAM",
        "middle_name": "A.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "IL",
            "license": "036073708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036073708",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

Verify at the official NPI Registry.