Individual provider Active NPI

William D. Hampton, D.O.

  • Emergency Medicine Physician
  • Shawano, WI
National Provider Identifier
1699766766
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
48701-021 Issued in WI
Practice address
100 County Road B
Shawano, WI 54166-7072
Phone
(715) 526-2111
NPI assigned
Oct 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 48701-021 WI Primary

Addresses

Primary practice location

100 County Road B
Shawano, WI 54166-7072

Mailing address

3 Neenah Ctr
Neenah, WI 54956-3070
Phone (715) 526-2111

Other practice location 1

2300 Western Ave
Manitowoc, WI 54220-3712
Phone (920) 320-3097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20061214000400 WI Practitioner - Emergency MedicinePractitioner - Osteopathic Manipulative Medicine 5890731921 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Osteopathic Manipulative Medicine
Education
Mid West Medical College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green Bay Emergency Medicine Services SCGroup PAC ID 9335170083, 16 clinicians

Practice addresses (Care Compare)

744 S Webster Ave
Green Bay, WI 54301-3505
Phone (920) 433-3500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48701-021WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Aurora, LLC CurrentSince Jun 1, 2020 Accepting new patients
Froedtert Manitowoc Medical Group, LLC CurrentSince Apr 1, 2022 Accepting new patients
Thedacare Medical Center - New London, Inc CurrentSince Oct 1, 2017 Accepting new patients
Thedacare Medical Center - New London, Inc. CurrentSince Oct 1, 2017 Accepting new patients
Green Bay Emergency Medicine Services S.C. Emergency Medicine CurrentSince Mar 1, 2023 Accepting new patients
Thedacare Medical Center - Shawano, Inc. CurrentSince Nov 11, 2017 Accepting new patients
Thedacare Medical Center - Shawano, Inc. CurrentSince Nov 11, 2017 Accepting new patients

Locations

2253 W Mason St
Green Bay, WI 54303
Phone (920) 327-7000

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

2845 Greenbrier Rd
Green Bay, WI 54311
Phone (920) 288-3388

6400 Industrial Loop
Greendale, WI 53129
Phone (414) 423-4100

2300 Western Ave
Manitowoc, WI 54220
Phone (920) 320-2011

3 Neenah Ctr
Neenah, WI 54956
Phone (920) 454-4229

1405 Mill St
New London, WI 54961
Phone (920) 531-2000

855 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 451-5643

100 Cty Road B
Shawano, WI 54166
Phone (715) 524-2161

1414 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 320-2011

5000 Memorial Dr
Two Rivers, WI 54241
Phone (920) 794-5000

Interoperability endpoints

  • Direct secure messaging: whampton183840@direct.thedacare.org
  • Direct secure messaging: whampton1034200@direct.emplifyhealth.org
  • Direct secure messaging: whampton543723@direct.froedtert.com

Organizations & group practices 7

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": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1699766766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 NEENAH CTR",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563070",
            "telephone_number": "715-526-2111",
            "fax_number": "715-526-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COUNTY ROAD B",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541667072",
            "telephone_number": "715-526-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Western Ave",
            "address_purpose": "LOCATION",
            "city": "Manitowoc",
            "state": "WI",
            "postal_code": "542203712",
            "country_code": "US",
            "telephone_number": "920-320-3097",
            "fax_number": "920-320-3529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMPTON",
        "first_name": "WILLIAM",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "48701-021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawano, WI

Sources for this page

Verify at the official NPI Registry.