Active NPI
William P Cooney III, MD
- Orthopaedic Hand Surgery Physician
- Vero Beach, FL
National Provider Identifier
1790761724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- ME91212
- Practice address
- 245 Holly Rd
Vero Beach, FL 32963-1454 - Phone
- (507) 254-9808
- NPI assigned
- Dec 21, 2005
- 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 |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | ME91212 | FL | Primary |
Addresses
Primary practice location
245 Holly Rd
Vero Beach, FL 32963-1454
Mailing address
245 Holly Rd
Vero Beach, FL 32963-1454
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AF120Z | Other | FL | MEDICARE |
| P00462899 | Other | FL | MEDICARE RR |
| 020169000 | Medicaid | FL | |
| 091017100 | Medicaid | MN | |
| 6194400001 | Other | FL | PALMETTO |
| 53629 | Other | FL | BLUE CROSS BLUE SHEILD FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568678400000",
"number": "1790761724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 HOLLY RD",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329631454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 HOLLY RD",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329631454",
"telephone_number": "507-254-9808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COONEY",
"first_name": "WILLIAM",
"middle_name": "P",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-21",
"last_updated": "2019-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "FL",
"license": "ME91212",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "AF120Z",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P00462899",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020169000",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "091017100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO",
"identifier": "6194400001",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD FL",
"identifier": "53629",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.