Individual provider Active NPI

William Esdorn Oquinn Jr., MD

  • Family Medicine Physician
  • Port Royal, SC
National Provider Identifier
1700990587
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31284 Issued in SC
Practice address
1510 Ribaut Rd
Port Royal, SC 29935-1403
Phone
(843) 770-0676
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TL31284 SC
Family Medicine Physician 207Q00000X 0101232502 VA
Family Medicine Physician 207Q00000X 31284 SC Primary

Addresses

Primary practice location

1510 Ribaut Rd
Port Royal, SC 29935-1403

Mailing address

PO Box 749306
Atlanta, GA 30374-9306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, CO, VA, FL, UT, NV6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20090209000188 SC Practitioner - Family PracticePractitioner - General PracticePractitioner - General Surgery 0648335695 Reassigns benefits to 2 organizations
I20260422002484 CO Practitioner - Family Practice 0648335695 Reassigns benefits to 1 organization
I20260423001252 VA Practitioner - Family Practice 0648335695 Reassigns benefits to 1 organization
I20260528003422 FL Practitioner - Family Practice 0648335695
I20260602000944 UT Practitioner - Family Practice 0648335695
I20260602001400 NV Practitioner - Family Practice 0648335695

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthone Carenow Urgent Care LLCGroup PAC ID 3375837339, 55 clinicians
Novant Health Urgent Cares LLCGroup PAC ID 8628502598, 183 clinicians
Northern Virginia Carenow Urgent Care LLCGroup PAC ID 4284902057, 55 clinicians
Charleston Carenow Urgent Care LLCGroup PAC ID 3274893359, 72 clinicians

Practice addresses (Care Compare)

1405 E Evans Ave
Denver, CO 80210-4544
Phone (720) 449-8050

1510 Ribaut Rd
Port Royal, SC 29935-1403
Phone (843) 770-0676

46200 Potomac Run PLZ
Sterling, VA 20164-6622
Phone (571) 313-5087

515 Saint James Ave
Goose Creek, SC 29445-2794
Phone (843) 507-8925

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31284SCMDFamily Medicine Physician
TL31284SCMDFamily Medicine Physician
0101232502VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Urgent Cares LLC Family Medicine CurrentSince Nov 1, 2024 Accepting new patients
Charleston Carenow Urgent Care, LLC CurrentSince Apr 20, 2026 Accepting new patients
Sandhills Medical Foundation, Inc. Past Accepting new patients
Sandhills Medical Foundation Past Accepting new patients

Locations

6167 Braided Mane Pass SW
Aiken, SC 29803
Phone (803) 502-1484

100 Jimmy Love Ln
Columbia, SC 29212
Phone (803) 731-4055

515 Saint James Ave
Goose Creek, SC 29445
Phone (843) 507-8925

8091 Rivers Ave
North Charleston, SC 29406
Phone (843) 572-7000

1510 Ribaut Rd
Port Royal, SC 29935
Phone (843) 524-3241

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1700990587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749306",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 RIBAUT RD",
            "city": "PORT ROYAL",
            "state": "SC",
            "postal_code": "299351403",
            "telephone_number": "843-770-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OQUINN",
        "first_name": "WILLIAM",
        "middle_name": "ESDORN",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "TL31284",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101232502",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "31284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Royal, SC

Sources for this page

Verify at the official NPI Registry.