Organization Active NPI

William C Hulley DO PA

  • Neurology Physician
  • Clearwater, FL
National Provider Identifier
1891946331
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
OS3664 Issued in FL
Legal business name
WILLIAM C HULLEY DO PA
Practice address
600 Lakeview Rd
Suite C
Clearwater, FL 33756-3355
Phone
(727) 446-8226
Fax
(727) 446-8216
NPI assigned
Oct 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Authorized official

Name
William C Hulley, DONPI 1801844709
Title
Owner
Phone
(727) 446-8226

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X OS3664 FL Primary

Addresses

Primary practice location

600 Lakeview Rd
Suite C
Clearwater, FL 33756-3355

Mailing address

600 Lakeview Rd
Suite C
Clearwater, FL 33756-3355
Phone (727) 446-8226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081107000154 FL Part B Supplier - Clinic/Group Practice 9830258763 Receives reassigned benefits from 1 practitioner
Practice locations: Largo, FL

National Provider Directory

National Provider Directory

Locations

626 Lakeview Rd
Ste A
Clearwater, FL 33756
Phone (724) 446-8226

600 Lakeview Rd
Ste C
Clearwater, FL 33756
Phone (727) 446-8226

670 Clearwater Largo Rd N
Ste E
Largo, FL 33770
Phone (727) 446-8226

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1891946331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 LAKEVIEW RD",
            "address_2": "SUITE C",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563355",
            "telephone_number": "727-446-8226",
            "fax_number": "727-446-8216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 LAKEVIEW RD",
            "address_2": "SUITE C",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563355",
            "telephone_number": "727-446-8226",
            "fax_number": "727-446-8216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM C HULLEY DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-02",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "HULLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-446-8226",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "OS3664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.