Active NPI
William T. Conklin, M.D.
- Plastic Surgery Physician
- McKeesport, PA
National Provider Identifier
1871750273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009902860003 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI 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.