William Pankow, APRN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

9211637 Issued in FL

Practice address

1255 Old Eustis Rd Ste 300
Mount Dora, FL 32757-9469

Phone

(540) 455-2270

NPI assigned

Aug 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• American Anesthesiology Associates of Virginia, Inc

  • Anesthesiology Physician
  • Fredericksburg, VA
  • NPI 1528059896
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1821005463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 OLD EUSTIS RD",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327579469",
            "telephone_number": "540-455-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 OLD EUSTIS RD STE 300",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327579469",
            "telephone_number": "540-455-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANKOW",
        "first_name": "WILLIAM",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "9211637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Osorio
• Nelly A Otero-Rodriguez, M.D
• Sharron Otremba, MACCCSLP
• P-3 Medical Inc
• Juan Carlos Pagan, DC
• Catherine Lim Panlilio, DOCTOR OF PHYSICAL T
• Gregory J Panzo, MD
• Bhargav Patel
• Drausty Patel
• Margi A Patel, O.D.

• Home Health Registered Nurse in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Home Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.