Active NPI
William C Leliever, MD
- Otolaryngology Physician
- Sanford, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 30932
- Practice address
- 1915 KM Wicker Memorial Drive
Sanford, NC 27330 - Phone
- (919) 774-6829
- Fax
- (919) 775-2327
- NPI assigned
- Jun 26, 2006
- Last updated
- Oct 22, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 30932 | NC | Primary |
| Hearing Instrument Specialist | 237700000X | 30932 | NC |
Addresses
Primary practice location
1915 KM Wicker Memorial Drive
Sanford, NC 27330
Mailing address
1915 K M Wicker Memorial Dr
Sanford, NC 27330-5070
Phone (919) 774-6829
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8951664 | Medicaid | NC | |
| 040001933 | Other | NC | PALMETTO GBA-RR MEDICARE |
| 3404108 | Other | NC | MEDICAID - HEARING AID CLAIMS |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 310666 | NY | MD | Licensed Practical Nurse |
| 30932 | NC | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adena Medical Group LLC | Current | Accepting new patients | |
| Rex Hospital, Inc. | Past | Accepting new patients |
Locations
272 Hospital Rd
Ste 6
Chillicothe, OH 45601
4439 State Route 159
Ste G70
Chillicothe, OH 45601
Phone (740) 779-4393
12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180
Interoperability endpoints
- wleliever171030@direct-guthrie.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Otolaryngology Physician
- Sanford, NC
- NPI 1205863479
-
- Hearing Instrument Specialist
- Sanford, NC
- NPI 1033534011
-
- Family Medicine Physician
- Chillicothe, OH
- NPI 1235468083
-
dba Rex Nutrition Services
- Nutrition Education Nutritionist
- Raleigh, NC
- NPI 1821472572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382400000000",
"number": "1902833171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1915 K M WICKER MEMORIAL DR",
"city": "SANFORD",
"state": "NC",
"postal_code": "273305070",
"telephone_number": "919-774-6829",
"fax_number": "919-775-2327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 KM WICKER MEMORIAL DRIVE",
"city": "SANFORD",
"state": "NC",
"postal_code": "27330",
"telephone_number": "919-774-6829",
"fax_number": "919-775-2327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LELIEVER",
"first_name": "WILLIAM",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2013-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NC",
"license": "30932",
"primary": true
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "NC",
"license": "30932",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8951664",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA-RR MEDICARE",
"identifier": "040001933",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID - HEARING AID CLAIMS",
"identifier": "3404108",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.