Active NPI
William Michael Carr, M.D.,F.A.A.P.
- Pediatrics Physician
- Stafford, VA
National Provider Identifier
1780640029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101036605
- Practice address
- 385 Garrisonville Rd
Suite209
Stafford, VA 22554-1545 - Phone
- (540) 659-0111
- Fax
- (540) 720-5867
- NPI assigned
- Apr 25, 2006
- Last updated
- Nov 8, 2012
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101036605 | VA | Primary |
Addresses
Primary practice location
385 Garrisonville Rd
Suite209
Stafford, VA 22554-1545
Mailing address
385 Garrisonville Rd
Suite209
Stafford, VA 22554-1545
Phone (540) 659-0111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780640029 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- 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 |
|---|---|---|---|---|
| I20160829002780 | WA | Order and Referring Only - Pediatric Medicine | 9830321231 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stafford Pediatrics, P.C. | 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.
-
- Primary Care Clinic/Center
- Stafford, VA
- NPI 1447382940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352332800000",
"number": "1780640029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 GARRISONVILLE RD",
"address_2": "SUITE209",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225541545",
"telephone_number": "540-659-0111",
"fax_number": "540-720-5867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 GARRISONVILLE RD",
"address_2": "SUITE209",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225541545",
"telephone_number": "540-659-0111",
"fax_number": "540-720-5867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "WILLIAM",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.,F.A.A.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2012-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101036605",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1780640029",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stafford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.