Individual provider Active NPI

William Y Oh, M.D.

  • Orthopaedic Surgery Physician
  • Tamuning, GU
National Provider Identifier
1770586117
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
M-2293 Issued in GU
Practice address
388 Ypao Rd
Tamuning, GU 96913-3701
Phone
(671) 646-8881
Fax
(671) 646-1292
NPI assigned
May 31, 2005
Last updated
Apr 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 17710 KY
Orthopaedic Surgery Physician 207X00000X 80045 OH
Orthopaedic Surgery Physician 207X00000X 4301106667 MI
Orthopaedic Surgery Physician 207X00000X 01079317A IN
Orthopaedic Hand Surgery Physician 207XS0106X 0101035843 VA
Orthopaedic Hand Surgery Physician 207XS0106X 80045 OH
Orthopaedic Trauma Physician 207XX0801X 80045 OH
Orthopaedic Surgery Physician 207X00000X M-2293 GU Primary

Addresses

Primary practice location

388 Ypao Rd
Tamuning, GU 96913-3701

Mailing address

1501 W Chisholm St
Alpena, MI 49707-1401
Phone (989) 356-9333

Other practice location 1

401 Long Rapids Plz
Alpena, MI 49707-1394
Phone (989) 356-9333

Other practice location 2

303 S Main St
Bluffton, IN 46714-2503
Phone (260) 919-3006

Other identifiers 6

IdentifierTypeStateIssuer
7100187290MedicaidKY
P39740027OtherMIMEDICARE PTAN
50035861OtherKYPASSPORT MEDICAID
81381OtherKYCOVENTRYCARES
006409458MedicaidVA
H122863OtherGUMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230308001626 GU Practitioner - Orthopedic Surgery 4082791694 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80045OHMDOrthopaedic Hand Surgery Physician
0101035843VAMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
General Conference Corp of Sda CurrentSince Feb 1, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Lima Memorial Professional Corporation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: william.oh@adventistclinic.directbygreenway.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1770586117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 W CHISHOLM ST",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071401",
            "telephone_number": "989-356-9333",
            "fax_number": "989-356-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 YPAO RD",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133701",
            "telephone_number": "671-646-8881",
            "fax_number": "671-646-1292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Long Rapids Plz",
            "address_purpose": "LOCATION",
            "city": "Alpena",
            "state": "MI",
            "postal_code": "497071394",
            "country_code": "US",
            "telephone_number": "989-356-9333",
            "fax_number": "989-356-0804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 S Main St",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "IN",
            "postal_code": "467142503",
            "country_code": "US",
            "telephone_number": "260-919-3006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OH",
        "first_name": "WILLIAM",
        "middle_name": "Y",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "17710",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "80045",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301106667",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01079317A",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "VA",
            "license": "0101035843",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "OH",
            "license": "80045",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "OH",
            "license": "80045",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GU",
            "license": "M-2293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100187290",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "P39740027",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT MEDICAID",
            "identifier": "50035861",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRYCARES",
            "identifier": "81381",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006409458",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "H122863",
            "state": "GU"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamuning, GU

Sources for this page

Verify at the official NPI Registry.