Organization Active NPI

William J. Detorres, III, MD PC

  • Internal Medicine Physician
  • Potsdam, NY
National Provider Identifier
1699921056
Registry record updated Aug 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
187115 Issued in NY
Legal business name
WILLIAM J. DETORRES, III, MD PC
Practice address
6604 State Highway 56
Potsdam, NY 13676-3545
Phone
(315) 261-4777
Fax
(315) 261-4779
NPI assigned
Aug 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2008

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

Authorized official

Name
Dr. William J Detorres PC III, MD
Title
Owner
Phone
(315) 261-4777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 187115 NY Primary

Addresses

Primary practice location

6604 State Highway 56
Potsdam, NY 13676-3545

Mailing address

6604 State Highway 56
Potsdam, NY 13676-3545
Phone (315) 261-4777

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1218844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1699921056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6604 STATE HIGHWAY 56",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136763545",
            "telephone_number": "315-261-4777",
            "fax_number": "315-261-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6604 STATE HIGHWAY 56",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136763545",
            "telephone_number": "315-261-4777",
            "fax_number": "315-261-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J. DETORRES, III, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-16",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "DETORRES PC",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-261-4777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "187115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potsdam, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.