Active NPI
William Cody Alley
- Surgical Physician Assistant
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 5758005-1206
- Practice address
- 30 N 1900 E
Salt Lake City, UT 84132-4305 - Phone
- (801) 585-3098
- NPI assigned
- Jun 15, 2020
- Last updated
- Feb 9, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5758005-1206 | UT | |
| Surgical Physician Assistant | 363AS0400X | 5758005-1206 | UT | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
30 N 1900 E
Salt Lake City, UT 84132-4305
Mailing address
30 N 1900 E
Salt Lake City, UT 84132-0002
Phone (801) 585-3098
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | walley62279@direct.med.utah.edu | Direct | University of Utah |
| Direct Messaging Address | walley62279@direct.med.utah.edu | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 697-1962
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5758005-1206 | UT | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Physician Assistant | Current | Accepting new patients |
| University of Utah Pediatric Services | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Pediatric Services | Current | Accepting new patients |
Locations
100 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 587-7109
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
315 S K St
Tacoma, WA 98405
Phone (253) 403-1291
Interoperability endpoints
- walley62279@direct.med.utah.edu
Organizations & group practices 9
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.
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- General Practice Physician
- Salt Lake City, UT
- NPI 1114321981
-
dba Department of Pediatrics
- Pediatrics Physician
- Salt Lake City, UT
- NPI 1487018974
-
dba University of Utah Hospital Radiology Department
- Diagnostic Radiology Physician
- Salt Lake City, UT
- NPI 1598169419
-
dba Univ. of Utah Hospital Palliative Care
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Salt Lake City, UT
- NPI 1679977474
-
dba Pediatric Infectious Disease
- Pediatric Infectious Diseases Physician
- Salt Lake City, UT
- NPI 1285098855
-
dba Pediatric Cardiology
- Pediatric Cardiology Physician
- Salt Lake City, UT
- NPI 1942664412
-
dba Covington MultiCare Clinic
- Family Medicine Physician
- Covington, WA
- NPI 1093768657
Physician Assistant
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tacoma General Allenmore
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
-
dba MultiCare Good Samaritan Hospital
- General Acute Care Hospital
- Puyallup, WA
- NPI 1841231461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644364800000",
"number": "1700401759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 N 1900 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841320002",
"telephone_number": "801-585-3098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N 1900 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841324305",
"telephone_number": "801-585-3098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEY",
"first_name": "WILLIAM",
"middle_name": "CODY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-15",
"last_updated": "2022-02-09",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "5758005-1206",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "UT",
"license": "5758005-1206",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "walley62279@direct.med.utah.edu",
"affiliation": "Y",
"affiliationName": "University of Utah",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "50 N Medical Dr",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841320001",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "walley62279@direct.med.utah.edu",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "30 N 1900 E",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841324305",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.