Organization Active NPI

William S. Oberheim, MD PC

  • Urology Physician
  • Albany, NY
National Provider Identifier
1841216868
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
109100 Issued in NY
Legal business name
WILLIAM S. OBERHEIM, MD PC
Practice address
63 Shaker Road
Suite 202 Albany Memorial Professional Building
Albany, NY 12204-1030
Phone
(518) 434-2763
Fax
(518) 434-0730
NPI assigned
Jul 14, 2006
Last updated
Nov 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Authorized official

Name
William Steven Oberheim, MD
Title
President
Phone
(518) 434-2763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 109100 NY Primary

Addresses

Primary practice location

63 Shaker Road
Suite 202 Albany Memorial Professional Building
Albany, NY 12204-1030

Mailing address

63 Shaker Road
Suite 202 Albany Memorial Professional Building
Albany, NY 12204-1030
Phone (518) 434-2763

Other identifiers 2

IdentifierTypeStateIssuer
00335406MedicaidNY
02593108MedicaidNY

National Provider Directory

National Provider Directory

Locations

317 S Manning Blvd
Ste 260
Albany, NY 12208
Phone (518) 438-4471

63 Shaker Rd
Ste 202
Albany, NY 12204
Phone (518) 434-1283

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258329600000",
    "number": "1841216868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 SHAKER ROAD",
            "address_2": "SUITE 202 ALBANY MEMORIAL PROFESSIONAL BUILDING",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122041030",
            "telephone_number": "518-434-2763",
            "fax_number": "518-434-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 SHAKER ROAD",
            "address_2": "SUITE 202 ALBANY MEMORIAL PROFESSIONAL BUILDING",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122041030",
            "telephone_number": "518-434-2763",
            "fax_number": "518-434-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM S. OBERHEIM, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2009-11-16",
        "status": "A",
        "authorized_official_last_name": "OBERHEIM",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-434-2763",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "109100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00335406",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02593108",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; 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.