Active NPI
William Robert Cambridge, MD
- Orthopaedic Surgery Physician
- Norwich, CT
National Provider Identifier
1760483093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 023709
- Practice address
- 28 1/2 Case St
Norwich, CT 06360-2215 - Phone
- (860) 886-8345
- Fax
- (860) 886-4251
- NPI assigned
- Aug 9, 2005
- Reactivated
- Oct 22, 2007
- Last updated
- Apr 11, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 023709 | CT | Primary |
Addresses
Primary practice location
28 1/2 Case St
Norwich, CT 06360-2215
Mailing address
28 1/2 Case St
Norwich, CT 06360-2223
Phone (860) 886-8345
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NLP012 | Other | CT | OXFORD ID |
| 506137 | Other | CT | AETNA ID |
| 010023709CT01 | Other | CT | ANTHEM BCBS ID NUMBER |
| 030918 | Other | CT | HEALTHNET ID |
| 001237098 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- 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 |
|---|---|---|---|---|
| I20071102000438 | CT | Practitioner - Orthopedic Surgery | 2860589157 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
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.
-
- Orthopaedic Surgery Physician
- Norwich, CT
- NPI 1548225642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365638400000",
"number": "1760483093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 1/2 CASE ST",
"city": "NORWICH",
"state": "CT",
"postal_code": "063602223",
"telephone_number": "860-886-8345",
"fax_number": "860-886-4251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 1/2 CASE ST",
"city": "NORWICH",
"state": "CT",
"postal_code": "063602215",
"telephone_number": "860-886-8345",
"fax_number": "860-886-4251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMBRIDGE",
"first_name": "WILLIAM",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2013-04-11",
"deactivation_date": "2006-03-23",
"reactivation_date": "2007-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CT",
"license": "023709",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD ID",
"identifier": "NLP012",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA ID",
"identifier": "506137",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS ID NUMBER",
"identifier": "010023709CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET ID",
"identifier": "030918",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001237098",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.