Active NPI
William Martin Elliott II, MD
- Emergency Medicine Physician
- Bluefield, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 13508
- Practice address
- 500 Cherry St
Bluefield, WV 24701-3306 - Phone
- (304) 327-1100
- NPI assigned
- May 19, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 13508 | WV | Primary |
Addresses
Primary practice location
500 Cherry St
Bluefield, WV 24701-3306
Mailing address
4750 Hempstead Station Dr
Kettering, OH 45429-5164
Phone (800) 875-0136
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000143660 | Other | WV | BLUE CROSS BLUE SHIELD |
| P00309253 | Other | RR MEDICARE BLUEFIELD | |
| 1003314 | Other | WV | BRICKSTREET |
| 3001609 | Other | WV | BRICKSTREET |
| 001827970 | Other | WV | BLUE CROSS BLUE SHIELD |
| 0056780000 | Medicaid | WV | |
| 010283205 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050316000756 | WV | Practitioner - Emergency Medicine | 2264487859 | Reassigns benefits to 5 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Racine Observation Medical Group, PLLC | Emergency Medicine | Current | Accepting new patients |
| West Virginia Emergency Physicians, LLP | Emergency Medicine | Current | Accepting new patients |
| Health Care Alliance, Inc. | Emergency Medicine | Current | Accepting new patients |
| Allied West Virginia Emergency Physicians PLLC | Emergency Medicine | Current | Accepting new patients |
| Greenbrier Emergency Services, Inc. | Emergency Medicine | Current | Accepting new patients |
| Bluefield Regional Medical Center Inc | Past | Accepting new patients | |
| Epmg of Virginia P C | Past | Accepting new patients | |
| Virginia Em-I Medical Services, PC | Emergency Medicine | Past | Accepting new patients |
| Bluefield Regional Medical Center | Past | Accepting new patients |
Locations
1408 Campbell Dr
Ironton, OH 45638
Phone (740) 533-9710
500 Cherry St
Bluefield, WV 24701
Phone (304) 324-2614
3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550
501 Morris St
Charleston, WV 25301
Phone (304) 348-6293
2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111
1400 Hospital Dr
Hurricane, WV 25526
Phone (304) 757-1700
20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101
1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460
601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156
230 Hospital Plz
Weston, WV 26452
Phone (304) 269-8000
Interoperability endpoints
- elliottw@yourcarecommunity.org
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Huntington, WV
- NPI 1487109104
Emergency Medicine, WV
-
- Emergency Medicine Physician
- Gassaway, WV
- NPI 1568401461
Emergency Medicine, WV
-
- Emergency Medicine Physician
- Beckley, WV
- NPI 1730128760
Emergency Medicine, WV
-
- Emergency Medicine Physician
- Huntington, WV
- NPI 1588196851
Emergency Medicine, WV
-
- Emergency Medicine Physician
- Morgantown, WV
- NPI 1952776379
Emergency Medicine, WV
-
- General Acute Care Hospital
- Bluefield, WV
- NPI 1407805633
-
- Rural Health Clinic/Center
- Bluefield, VA
- NPI 1184890808
-
- Emergency Medical Services (Emergency Medicine) Physician
- Blacksburg, VA
- NPI 1972545531
-
- Emergency Medicine Physician
- Petersburg, VA
- NPI 1447201744
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371600000000",
"number": "1730133588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4750 HEMPSTEAD STATION DR",
"city": "KETTERING",
"state": "OH",
"postal_code": "454295164",
"telephone_number": "800-875-0136",
"fax_number": "937-619-4150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 CHERRY ST",
"city": "BLUEFIELD",
"state": "WV",
"postal_code": "247013306",
"telephone_number": "304-327-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "WILLIAM",
"middle_name": "MARTIN",
"name_suffix": "II",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2013-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WV",
"license": "13508",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000143660",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE BLUEFIELD",
"identifier": "P00309253",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRICKSTREET",
"identifier": "1003314",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRICKSTREET",
"identifier": "3001609",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "001827970",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0056780000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010283205",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bluefield, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.