Individual provider Active NPI

William Powell, MD

  • Family Medicine Physician
  • Benton, KY
National Provider Identifier
1891707642
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34554 Issued in KY
Practice address
619 Old Symsonia Rd
Benton, KY 42025-5094
Phone
(270) 527-2411
Fax
(270) 527-8734
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34554 KY Primary

Addresses

Primary practice location

619 Old Symsonia Rd
Benton, KY 42025-5094

Mailing address

PO Box 526
Benton, KY 42025-0526
Phone (270) 527-2411

Other practice location 1

225 Medical Center Dr
Suite 101
Paducah, KY 42003-7934
Phone (270) 441-4357

Other identifiers 4

IdentifierTypeStateIssuer
2705272411OtherOFFICE PHONE
34554OtherKYKY STATE LIC
64345648MedicaidKY
4047220MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address william.powell@marshallhospital.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fulton Emergency Services II, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1891707642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 526",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420250526",
            "telephone_number": "270-527-2411",
            "fax_number": "270-527-8734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 OLD SYMSONIA RD",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420255094",
            "telephone_number": "270-527-2411",
            "fax_number": "270-527-8734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Medical Center Dr",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "420037934",
            "country_code": "US",
            "telephone_number": "270-441-4357",
            "fax_number": "270-441-4132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "34554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE PHONE",
            "identifier": "2705272411",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY STATE LIC",
            "identifier": "34554",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64345648",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4047220",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "william.powell@marshallhospital.net",
            "affiliation": "N",
            "address_1": "619 Old Symsonia Rd",
            "city": "Benton",
            "state": "KY",
            "country_code": "US",
            "postal_code": "420255094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Benton, KY

Sources for this page

Verify at the official NPI Registry.