Individual provider Active NPI

William C Hulley III, DO

  • Neurology Physician
  • Largo, FL
National Provider Identifier
1801844709
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
OS3664 Issued in FL
Practice address
670 Clearwater Largo Rd N
Suite E
Largo, FL 33770-2377
Phone
(727) 446-8226
Fax
(727) 446-8216
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X OS3664 FL Primary

Addresses

Primary practice location

670 Clearwater Largo Rd N
Suite E
Largo, FL 33770-2377

Mailing address

670 Clearwater Largo Rd N
Suite E
Largo, FL 33770-2377
Phone (727) 446-8226

Other identifiers 2

IdentifierTypeStateIssuer
057792800MedicaidFL
591759586OtherFLTAX ID

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080729000637 FL Practitioner - Neurology 6406920115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

670 Clearwater Largo Rd N
Suite E
Largo, FL 33770-2377
Phone (727) 446-8226

Hospital & facility affiliations

  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OS3664FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William C Hulley DO PA Neurology CurrentSince Jun 9, 2008 Accepting new patients

Locations

626 Lakeview Rd
Ste A
Clearwater, FL 33756
Phone (724) 446-8226

670 Clearwater Largo Rd N
Ste E
Largo, FL 33770
Phone (727) 446-8226

Networks

  • Freedom Health HMO Network

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1801844709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 CLEARWATER LARGO RD N",
            "address_2": "SUITE E",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702377",
            "telephone_number": "727-446-8226",
            "fax_number": "727-446-8216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 CLEARWATER LARGO RD N",
            "address_2": "SUITE E",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702377",
            "telephone_number": "727-446-8226",
            "fax_number": "727-446-8216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULLEY",
        "first_name": "WILLIAM",
        "middle_name": "C",
        "name_suffix": "III",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "OS3664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057792800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "591759586",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.