Active NPI
William Edward Naill, M.D.
- Radiation Oncology Physician
- Mount Pleasant, MI
National Provider Identifier
1972595734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 4301049860
- Practice address
- 1221 South Dr
Mount Pleasant, MI 48858-3257 - Phone
- (989) 772-6871
- Fax
- (989) 772-6813
- NPI assigned
- Aug 18, 2005
- 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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 43010049860 | MI | |
| Radiation Oncology Physician | 2085R0001X | 4301049860 | MI | Primary |
Addresses
Primary practice location
1221 South Dr
Mount Pleasant, MI 48858-3257
Mailing address
1221 South Dr
Mount Pleasant, MI 48858-3257
Phone (989) 772-6871
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 172696810 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43010049860 | MI | MD | Radiation Oncology Physician |
| 4301049860 | MI | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Group | Past | Accepting new patients | |
| Radiology Muskegon PC | Past | Accepting new patients |
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.
-
- Diagnostic Radiology Physician
- Muskegon, MI
- NPI 1841208071
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1447299797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403222400000",
"number": "1972595734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 SOUTH DR",
"city": "MOUNT PLEASANT",
"state": "MI",
"postal_code": "488583257",
"telephone_number": "989-772-6871",
"fax_number": "989-772-6813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 SOUTH DR",
"city": "MOUNT PLEASANT",
"state": "MI",
"postal_code": "488583257",
"telephone_number": "989-772-6871",
"fax_number": "989-772-6813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAILL",
"first_name": "WILLIAM",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-18",
"last_updated": "2014-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MI",
"license": "43010049860",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MI",
"license": "4301049860",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "172696810",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.