Active NPI
William R Wiltshire
- Radiology Practitioner Assistant
- Lakeland, FL
National Provider Identifier
1831633577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Practitioner Assistant
- License
- 16FL1501
- Practice address
- 1305 Lakeland Hills Blvd
Lakeland, FL 33805-4542 - Phone
- (863) 688-2334
- NPI assigned
- Dec 15, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Practitioner Assistant | 243U00000X | 16FL1501 | FL | Primary |
Addresses
Primary practice location
1305 Lakeland Hills Blvd
Lakeland, FL 33805-4542
Mailing address
1305 Lakeland Hills Blvd
Lakeland, FL 33805-4542
Phone (863) 688-2334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16FL1501 | FL | MD | Radiology Practitioner Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492128000000",
"number": "1831633577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 LAKELAND HILLS BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338054542",
"telephone_number": "863-688-2334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 LAKELAND HILLS BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338054542",
"telephone_number": "863-688-2334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILTSHIRE",
"first_name": "WILLIAM",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-12-15",
"last_updated": "2017-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "243U00000X",
"taxonomy_group": "",
"desc": "Radiology Practitioner Assistant",
"state": "FL",
"license": "16FL1501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.