Active NPI
William Scott King, PA-C
- Medical Physician Assistant
- Ware, MA
National Provider Identifier
1962521104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 362122
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 362122 | MA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Medicine and Orthopedic Surgery | Past | Accepting new patients | |
| Sports Medicine and Orthopedic Surgery, P.C. | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Tolland, CT
- NPI 1467745679
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Manchester, CT
- NPI 1578670659
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.