William Donald Hoisington, M.D.
Individual provider Active NPI Family Medicine Physician · Clifton, CO
NPI 1801893409 · NPPES record last updated Jan 27, 2012
Key facts
- NPI
- 1801893409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 24942 (CO)
- Practice address
- 3225 I-70 Business Loop
Ste A4
Clifton, CO 81520-7687 - Phone
- (970) 434-6542
- Fax
- (970) 434-3327
- NPI assigned
- Jun 28, 2005
- 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 |
|---|---|---|---|
| 24942 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Group, LLC | Family Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 24942 | CO | Yes |
Addresses
Primary practice location
3225 I-70 Business Loop
Ste A4
Clifton, CO 81520-7687
Mailing address
3225 I-70 Business Loop
Ste A4
Clifton, CO 81520-7687
Phone (970) 434-6542
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27715 | Other | CO | BCBS |
| 01249424 | Medicaid | CO | |
| 2155248 | Other | CO | AETNA- HMO |
| 841547572002 | Other | CO | ROCKY MT HEALTH PLANS |
Other providers in Clifton, CO
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- Sam Hean
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- High Desert Assisted Living, LLC
- Rebecca Ann Jones
- Ashley Kent
- Reese Lansville
- Cynthia Esperanza Lopez
- Iliana Maria Martinez Lugo
All providers in Clifton, CO · Family Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2012. 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.