Active NPI
William D Depond, M.D.
- Clinical Pathology/Laboratory Medicine Physician
- Terre Haute, IN
National Provider Identifier
1699741942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- License
- 107867
- Practice address
- 634 Beech St
Terre Haute, IN 47804-2760 - Phone
- (812) 244-0100
- Fax
- (812) 232-1517
- NPI assigned
- Feb 27, 2006
- Last updated
- Feb 19, 2014
- 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 |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 107867 | MO | Primary |
Addresses
Primary practice location
634 Beech St
Terre Haute, IN 47804-2760
Mailing address
PO Box 9524
Terre Haute, IN 47808-9524
Phone (812) 244-0010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207977703 | Medicaid | MO |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 107867 | MO | MD | Clinical Pathology/Laboratory Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Health Physicians | Past | Accepting new patients |
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392768000000",
"number": "1699741942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9524",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478089524",
"telephone_number": "812-244-0010",
"fax_number": "812-232-1517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "634 BEECH ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478042760",
"telephone_number": "812-244-0100",
"fax_number": "812-232-1517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPOND",
"first_name": "WILLIAM",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2014-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "MO",
"license": "107867",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207977703",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.