Individual provider Active NPI

William Scott King, PA-C

  • Medical Physician Assistant
  • Ware, MA
National Provider Identifier
1962521104
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
362122 Issued in MA
Practice address
85 South St
Suite 8
Ware, MA 01082-1667
Phone
(413) 967-2179
Fax
(413) 967-2598
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 362122 MA Primary

Addresses

Primary practice location

85 South St
Suite 8
Ware, MA 01082-1667

Mailing address

5 Neponset St
Wot 2ND FL
Worcester, MA 01606-2714
Phone (508) 721-1195

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
362122MAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Medicine and Orthopedic Surgery Past Accepting new patients
Sports Medicine and Orthopedic Surgery, P.C. PastSince Aug 10, 2017 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: william.king.npi1962521104.reliant@direct.optumcare.masshiway.net

Organizations & group practices 2

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1962521104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 NEPONSET ST",
            "address_2": "WOT 2ND FL",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062714",
            "telephone_number": "508-721-1195",
            "fax_number": "508-832-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SOUTH ST",
            "address_2": "SUITE 8",
            "city": "WARE",
            "state": "MA",
            "postal_code": "010821667",
            "telephone_number": "413-967-2179",
            "fax_number": "413-967-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "WILLIAM",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "362122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ware, MA

Sources for this page

Verify at the official NPI Registry.