Individual provider Active NPI

William James Wiley, DPM

  • Podiatrist
  • Tampa, FL
National Provider Identifier
1801834015
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3008 Issued in FL
Practice address
10506 Lucaya Dr
Tampa, FL 33647-3326
Phone
(813) 973-8560
Fax
(813) 973-8560
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO3008 FL Primary

Addresses

Primary practice location

10506 Lucaya Dr
Tampa, FL 33647-3326

Mailing address

10506 Lucaya Dr
Tampa, FL 33647-3326
Phone (813) 973-8560

Other identifiers 4

IdentifierTypeStateIssuer
061658210OtherFLTRICARE PROVIDER NUMBER
65920OtherFLBC/BS OF FL PROVIDER NUMB
N307018OtherFLWELLCARE OF FL PROVIDER N
340282700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050819000736 FL Practitioner - Podiatry 4981634862 Practice locations: Tampa, FL

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10506 Lucaya Dr
Tampa, FL 33647-3326
Phone (813) 966-6617

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue16
Removal of nail tissue120
Removal or shaving of skin growth104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1801834015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10506 LUCAYA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473326",
            "telephone_number": "813-973-8560",
            "fax_number": "813-973-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10506 LUCAYA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473326",
            "telephone_number": "813-973-8560",
            "fax_number": "813-973-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "WILLIAM",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE PROVIDER NUMBER",
            "identifier": "061658210",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF FL PROVIDER NUMB",
            "identifier": "65920",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE OF FL PROVIDER N",
            "identifier": "N307018",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340282700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.