Active NPI
William Stephan Roberts, M.D.
- Diagnostic Radiology Physician
- Homer, AK
National Provider Identifier
1871617225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 3293
- Practice address
- 4300 Bartlett Street
South Peninsula Hospital
Homer, AK 99603 - Phone
- (907) 235-0362
- NPI assigned
- Mar 19, 2007
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 3293 | AK | Primary |
Addresses
Primary practice location
4300 Bartlett Street
South Peninsula Hospital
Homer, AK 99603
Mailing address
PO Box 2434
Homer, AK 99603-2434
Phone (907) 235-0362
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3293 | AK | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1871617225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2434",
"city": "HOMER",
"state": "AK",
"postal_code": "996032434",
"telephone_number": "907-235-0362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 BARTLETT STREET",
"address_2": "SOUTH PENINSULA HOSPITAL",
"city": "HOMER",
"state": "AK",
"postal_code": "99603",
"telephone_number": "907-235-0362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "WILLIAM",
"middle_name": "STEPHAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AK",
"license": "3293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.