Active NPI
William A McDougall, MD
- Surgery Physician
- Chippewa Falls, WI
National Provider Identifier
1700996204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 46626
- Practice address
- 2655 County Highway I
Chippewa Falls, WI 54729 - Phone
- (715) 426-4160
- NPI assigned
- Aug 30, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 46626 | WI | Primary |
Addresses
Primary practice location
2655 County Highway I
Chippewa Falls, WI 54729
Mailing address
1000 N Oak Ave
Marshfield, WI 54449-5777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34541400 | Medicaid | WI |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Penn Allegheny Health System, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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 Dean Ornish Program
- Cardiovascular Disease Physician
- Pittsburgh, PA
- NPI 1467466789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700996204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 N OAK AVE",
"city": "MARSHFIELD",
"state": "WI",
"postal_code": "544495777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2655 COUNTY HIGHWAY I",
"city": "CHIPPEWA FALLS",
"state": "WI",
"postal_code": "54729",
"telephone_number": "715-426-4160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDOUGALL",
"first_name": "WILLIAM",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WI",
"license": "46626",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34541400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chippewa Falls, WI
- Maria Lynn Martino, DPT
- Emily J Mason, M.D.
- Dezeray Clare Matott, NP
- Daniel William McCann, MSW
- Terrence D McCanna, MD
- Shawn M. McFarlane, DDS
- MCHS Hospitals Inc (Marshfield Clinic Chippewa Falls Center)
- MCHS Hospitals Inc (Marshfield Clinic Pharmacy)
- MCHS Hospitals Inc (Marshfield Clinic Lake Hallie Center)
- MCHS Hospitals Inc (INACTIVE Marshfield Clinic Chippewa Falls (DME))
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.