William Wyman Fiske, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

74240 Issued in MA

Practice address

134 Ansel Hallet Rd
W Yarmouth, MA 02673-2582

Phone

(508) 771-9779

NPI assigned

Jun 6, 2006

Last updated

May 22, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Dermatology

Education

University of Massachusetts Medical School, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cape Cod Dermatology, LLCGroup PAC ID 4981843794, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.41 of 100Reported as group

Quality

86.82

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Cape Cod Dermatology, LLC

  • Dermatology Physician
  • W Yarmouth, MA
  • NPI 1437595006
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1780624213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 ANSEL HALLET RD",
            "city": "W YARMOUTH",
            "state": "MA",
            "postal_code": "026732582",
            "telephone_number": "508-771-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 ANSEL HALLET RD",
            "city": "W YARMOUTH",
            "state": "MA",
            "postal_code": "026732582",
            "telephone_number": "508-771-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISKE",
        "first_name": "WILLIAM WYMAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "74240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00429633",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110095135A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J11263",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean M Connors, PT
• Nancy T Couture, MA
• Kathleen Doyle, PTA
• Paula M Fabyan, LICSW
• Darlene Marie Faherty, CCC
• Sasha Danielle Girouard, M.D.
• Patrick Goff Jr.
• Christin M Hayes, D.C.
• Siobhan Hemeon-McMahon
• Muriel Delight Korbel, LICSW

• Dermatology Physician in W Yarmouth, MA
• Providers in W Yarmouth, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.