William M Hammesfahr, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME 52212 Issued in FL

Practice address

510 CR 466
Ste 207 D
Lady Lake, FL 32159

Phone

(352) 414-5322

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Brain and Spine Specialists, Inc

  • Clinic/Center
  • Upland, CA
  • NPI 1669139259
  NPD Authorized official
• A Peak Performance Health & Wellness Centers of Fla PA

  • Chiropractor
  • Clearwater, FL
  • NPI 1912098104
  NPD (past)
• Alexander T Gimon PHD PA

  • Psychologist
  • Largo, FL
  • NPI 1750582466
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1962446500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19740 GULF BOULEVARD",
            "city": "REDINGTON SHORES",
            "state": "FL",
            "postal_code": "337081146",
            "telephone_number": "352-217-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 CR 466",
            "address_2": "STE 207 D",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "32159",
            "telephone_number": "352-414-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMESFAHR",
        "first_name": "WILLIAM",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME 52212",
            "primary": true
        },
        {
            "code": "2084P0005X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
            "state": "FL",
            "license": "ME52212",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "FL",
            "license": "ME52212",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "FL",
            "license": "ME52212",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME 0052212",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271074900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johnny Gurgen, D.O.
• Murat Michael Gurgen, ARNP
• Michel S Habashy
• Shannon Elaine Haerter, APRN
• John Mark Hamm, PT
• David J Hancock, DPM
• Christopher Joel Handy, LMT
• Sangeeta Hans, M.D.
• Tyler Lyall Hanson, PA-C
• Erica Harden, A.R.N.P.

• Neurology Physician in Lady Lake, FL
• Providers in Lady Lake, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.

Verify at the official NPI Registry.