Organization Active NPI

William T. Conklin, M.D.

  • Plastic Surgery Physician
  • McKeesport, PA
National Provider Identifier
1871750273
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
WILLIAM T. CONKLIN, M.D.
Practice address
600 Hospital Way
Kelly Building
McKeesport, PA 15132-2092
Phone
(412) 664-2503
Fax
(412) 664-2504
NPI assigned
May 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
William T Conklin, MD
Title
Ceo
Phone
(412) 664-2503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

600 Hospital Way
Kelly Building
McKeesport, PA 15132-2092

Mailing address

600 Hospital Way
Kelly Buldling
McKeesport, PA 15132-2092
Phone (412) 664-2503

Other identifiers 1

IdentifierTypeStateIssuer
0009902860003MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1871750273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HOSPITAL WAY",
            "address_2": "KELLY BULDLING",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151322092",
            "telephone_number": "412-664-2503",
            "fax_number": "412-664-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HOSPITAL WAY",
            "address_2": "KELLY BUILDING",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151322092",
            "telephone_number": "412-664-2503",
            "fax_number": "412-664-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM T. CONKLIN, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "CONKLIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "412-664-2503",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009902860003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKeesport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.