Active NPI
William Henry Knoedler, MD
- Psychiatry Physician
- Madison, WI
National Provider Identifier
1699873729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 18050
- Practice address
- 108 S Webster St
Madison, WI 53703-3494 - Phone
- (608) 266-0721
- Fax
- (608) 266-3638
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 18050 | WI | Primary |
Addresses
Primary practice location
108 S Webster St
Madison, WI 53703-3494
Mailing address
3813 S Meadow Dr
Middleton, WI 53562-2357
Phone (608) 266-0721
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 |
|---|---|---|---|
| 18050 | WI | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699873729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3813 S MEADOW DR",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535622357",
"telephone_number": "608-266-0721",
"fax_number": "608-266-3638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 S WEBSTER ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537033494",
"telephone_number": "608-266-0721",
"fax_number": "608-266-3638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOEDLER",
"first_name": "WILLIAM",
"middle_name": "HENRY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "18050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.