Active NPI
William J Demots, MD
- Family Medicine Physician
- Temperance, MI
National Provider Identifier
1992791453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301035215
- Practice address
- 8765 Lewis Ave
Temperance, MI 48182-9583 - Phone
- (734) 847-3802
- Fax
- (734) 850-0520
- NPI assigned
- Sep 21, 2005
- Last updated
- Jun 18, 2015
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301035215 | MI | Primary |
Addresses
Primary practice location
8765 Lewis Ave
Temperance, MI 48182-9583
Mailing address
777 Kimole LN
Suite 230
Adrian, MI 49221-1478
Phone (517) 263-5655
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000387441 | Other | ANTHEM | |
| E86031 | Other | MI | BCBS OF MICHIGAN |
| 03634 | Other | PARAMOUNT | |
| 0804641971 | Other | BCBS MI | |
| 4783547 | Medicaid | MI | |
| P00254442 | Other | RRMC | |
| 396443925-001 | Other | MMO | |
| 4220274 | Other | AETNA | |
| 113277 | Other | CARECHOICES/PREFERRED CHO |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Medical Center of Michigan,Inc | Current | Accepting new patients | |
| Family Medical Center of Michigan, Inc | Current | Accepting new patients |
Locations
1200 N Main St
Adrian, MI 49221
Phone (517) 263-1800
1085 N Macomb St
#O
Monroe, MI 48162
Phone (734) 639-2546
8765 Lewis Ave
Temperance, MI 48182
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Adrian, MI
- NPI 1457640930
-
- Federally Qualified Health Center (FQHC)
- Temperance, MI
- NPI 1265591812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434585600000",
"number": "1992791453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 KIMOLE LN",
"address_2": "SUITE 230",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492211478",
"telephone_number": "517-263-5655",
"fax_number": "517-263-8012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8765 LEWIS AVE",
"city": "TEMPERANCE",
"state": "MI",
"postal_code": "481829583",
"telephone_number": "734-847-3802",
"fax_number": "734-850-0520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMOTS",
"first_name": "WILLIAM",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-21",
"last_updated": "2015-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301035215",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000387441",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MICHIGAN",
"identifier": "E86031",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT",
"identifier": "03634",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MI",
"identifier": "0804641971",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4783547",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC",
"identifier": "P00254442",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMO",
"identifier": "396443925-001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4220274",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARECHOICES/PREFERRED CHO",
"identifier": "113277",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Temperance, MI
- Marianne Helen Coppens, FNP
- Natalia Cortes Ferreira
- David L Clark DDS PC
- Meghanne Denise Decant, RN
- Gillian O'Bryan Delffs
- Dr. Joseph a. Lascala & Associates P.C. (Advantage Chiropractic)
- Melodie J Dregansky, MA CCC-SLP
- Brenda Jurgenson Duggan, SPEECH/LANGUAGE PATH
- Mary Ann Durbin, CNM
- Kerri Easton, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.