Individual provider Active NPI

Bill Calvin Isaacs, M.D.

  • Family Medicine Physician
  • Canadian, TX
National Provider Identifier
1962528596
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F4112 Issued in TX
Practice address
817 Hillside Avenue
Canadian, TX 79014
Phone
(806) 323-9307
NPI assigned
Mar 22, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F4112 TX Primary

Addresses

Primary practice location

817 Hillside Avenue
Canadian, TX 79014

Mailing address

817 Hillside Avenue
Canadian, TX 79014
Phone (806) 323-9307

Other names 1

  • William C Isaacs Professional name

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20090113000890 TX Practitioner - Family Practice 2365505831 Practice locations: Canadian, TX

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Southwest School of Medicine and Hospital, 1979
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

817 Hillside
Canadian, TX 79014-3232

817 Hillside Ave
Canadian, TX 79014-3232
Phone (806) 323-9307

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions94
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962528596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 HILLSIDE AVENUE",
            "city": "CANADIAN",
            "state": "TX",
            "postal_code": "79014",
            "telephone_number": "806-323-9307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 HILLSIDE AVENUE",
            "city": "CANADIAN",
            "state": "TX",
            "postal_code": "79014",
            "telephone_number": "806-323-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAACS",
        "first_name": "BILL",
        "middle_name": "CALVIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F4112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "ISAACS",
            "middle_name": "C",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Canadian, TX

Sources for this page

Verify at the official NPI Registry.