William H Anderson, MD
Individual provider Active NPI Family Medicine Physician · Hancock, MI
NPI 1801809405 · NPPES record last updated Nov 23, 2009
Key facts
- NPI
- 1801809405
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4301041109 (MI)
- Practice address
- 500 Campus Dr
Hancock, MI 49930-1569 - Phone
- (906) 483-1000
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301041109 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portage Health Inc. | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- william.anderson@uglfhc.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301041109 | MI | Yes |
Addresses
Primary practice location
500 Campus Dr
Hancock, MI 49930-1569
Mailing address
500 Campus Dr
Hancock, MI 49930-1569
Phone (906) 483-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0C16002 | Other | MI | MEDICARE GROUP |
| WA041109 | Other | MI | BLUE CROSS STATE ID |
| 0829560001 | Other | MI | MEDICARE DME |
| 3097924 | Medicaid | MI |
Other providers in Hancock, MI
- Sahar Abuimara
- Michael T Adams
- Jamie Lynn Ahola
- Shaden Al-Jadaa
- Bruce Anderson
- Timothy Andress
- Sandra Lynn Aronson
- Aspirus Superior Home Health and Hospice Inc
- Aspirus Superior Home Health and Hospice Inc
- Aspirus Vna Home Health Inc.
All providers in Hancock, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.