NPIMap

Individual provider Active NPI

William James Carr, PA

  • Physician Assistant
  • Fredericksburg, VA
National Provider Identifier
1700803293
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110003290 Issued in VA
Practice address
3031 Plank Rd
Fredericksburg, VA 22401-4951
Phone
(540) 736-5043
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 006057 NY
Physician Assistant 363A00000X C0002956 MD
Physician Assistant 363A00000X 0110003290 VA Primary

Addresses

Primary practice location

3031 Plank Rd
Fredericksburg, VA 22401-4951

Mailing address

5000 Cox Rd
Glen Allen, VA 23060-9263
Phone (804) 968-5700

Other practice location 1

200 Memorial Avenue
Carroll Hospital Center
Westminster, MD 21157-5799
Phone (410) 871-6700

Other names 1

  • Mr. William James Carr Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, MD, NY3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20041218000040 NJ Practitioner - Physician Assistant 5193782480 Reassigns benefits to 1 organization
I20050922000820 MD Practitioner - Physician Assistant 5193782480 Reassigns benefits to 1 organization
I20161111000045 NY Practitioner - Physician Assistant 5193782480 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Hospital CurrentSince May 16, 2017 Accepting new patients
Saratoga Hospital CurrentSince May 16, 2017 Accepting new patients
Sheridan Emergency Physician Services of Virginia, Inc Past Accepting new patients
Rockland Medical Group, PLLC PastSince Apr 15, 2017 Accepting new patients
Greater Washington Emergency Physicians Chartered Past Accepting new patients
Pharma Holding Inc PastSince Jul 23, 2023 Accepting new patients
Virginia Emergency Group LLC Past Accepting new patients

Locations

211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1700803293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263",
            "telephone_number": "804-968-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 PLANK RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014951",
            "telephone_number": "540-736-5043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Memorial Avenue",
            "address_2": "Carroll Hospital Center",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "MD",
            "postal_code": "211575799",
            "country_code": "US",
            "telephone_number": "410-871-6700",
            "fax_number": "410-871-7177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARR",
        "first_name": "WILLIAM",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "006057",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0002956",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "CARR",
            "middle_name": "JAMES",
            "prefix": "MR.",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.