Individual provider Active NPI

William Curtis Small, MD

  • Family Medicine Physician
  • Williston, ND
National Provider Identifier
1992793673
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11268 Issued in ND
Practice address
1213 15TH Ave W
Williston, ND 58801-3800
Phone
(701) 774-7400
Fax
(701) 774-7482
NPI assigned
Oct 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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 11268 ND Primary

Addresses

Primary practice location

1213 15TH Ave W
Williston, ND 58801-3800

Mailing address

1213 15TH Ave W
Williston, ND 58801-3800
Phone (701) 774-7400

Other names 1

  • William Curtis Small Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20090727000148 ND Practitioner - Family Practice 8628016854 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Medical CenterGroup PAC ID 7416851381, 78 clinicians

Practice addresses (Care Compare)

1213 15TH Ave W
Williston, ND 58801-3895
Phone (701) 572-7651

Hospital & facility affiliations

  • CHI Health at Home - HHA Home health agency, Williston, ND, CCN 357030
  • CHI St Alexius Health Williston Hospital, Williston, ND, CCN 351334
  • CHI St Alexius Health Hospital, Bismarck, ND, CCN 350002
  • Bethel Lutheran Nursing & Rehabilitation Center Nursing home, Williston, ND, CCN 355070

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Center CurrentSince Jun 15, 2009 Accepting new patients
Mercy Home Care CurrentSince Jun 15, 2009 Accepting new patients
Mercy Medical Center Current Accepting new patients
Physician Services Corporation of Southern Illinois Inc. Family Medicine PastSince Jul 1, 2014 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

3369 Solutions Ctr
Chicago, IL 60677

1213 15th Ave W
Williston, ND 58801
Phone (701) 572-7641

1301 15th Ave W
Williston, ND 58801
Phone (701) 774-7400

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1992793673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 15TH AVE W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588013800",
            "telephone_number": "701-774-7400",
            "fax_number": "701-774-7482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 15TH AVE W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588013800",
            "telephone_number": "701-774-7400",
            "fax_number": "701-774-7482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "WILLIAM",
        "middle_name": "CURTIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "11268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "SMALL",
            "middle_name": "CURTIS",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Williston, ND

Sources for this page

Verify at the official NPI Registry.