DR. WILLIAM WALLACE WEBSTER (NPI# 1528166287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528166287 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM WALLACE WEBSTER |
| Credential | MD |
| Practice Address |
1900 Woodland Drive Coos Bay OR 97420-0000 |
| Practice Telephone | 5412675151 |
| Practice Fax Number | 5412664580 |
| Mailing Telephone | 5412675151 |
| Mailing Fax Number | 5412664580 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2010-03-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | A40097 | CA | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | A40097 | CA | Allopathic & Osteopathic Physicians |
| Y | 207Y00000X | Otolaryngology | MD27455 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 274244 | 05 | |
| OR | TRAV RR MEDICARE GROUP PTAN | CB3544 | 01 |
| OR | MEDICARE GROUP NPI NUMBER | 1407812365 | 01 |
| OR | MEDICARE GROUP PIN NUMBER | R0000WFBTV | 01 |
| OR | TRAV RR MEDICARE PTAN | P00628020 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295281970 | William Moncur Webster | Emergency Medicine | 31054 Hawksmoor Dr, Rancho Palos Verdes, CA 90275-6248 | 2016-08-31 |
| 1184874455 | William S Webster | Veterinarian | 5 Morse Cir, Northborough, MA 01532-1111 | 2008-09-23 |
| 1093938060 | William Robert Webster | Counselor | 2119 Grand Central Ave., Horseheads, NY 14845-2809 | 2007-04-10 |
| 1285670075 | William B. Webster | Pharmacist | 9525 Blind Pass Rd, Courageous #1001, St Pete Beach, FL 33706-1354 | 2006-06-21 |
| 1659936987 | William Zachary Webster | Internal Medicine | Internal Medicine Clinic, 1801 Sunset Drive, Columbia, SC 29203 | 2019-05-02 |
| 1083159768 | William Cody Webster | Nurse Anesthetist, Certified Registered | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2017-01-04 |
| 1770866766 | William Alden Webster | Pharmacist | 725 Center Dr, San Marcos, CA 92069-3536 | 2011-09-26 |
| 1558654848 | William Markell Webster | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2011-05-19 |
| 1912227323 | William Kirk Webster | Dentist | 90 Wilson Rd, Humble, TX 77338-3922 | 2010-06-08 |
| 1558559047 | William T. Webster | Dentist | 359 S 4th St Ste B, Danville, KY 40422-2078 | 2007-10-09 |
| Street Address |
1900 WOODLAND DRIVE |
| City | COOS BAY |
| State | OR |
| Zip Code | 97420-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649277450 | Linda L Bufton | Psychiatry & Neurology | 1900 Woodland Drive, Coos Bay, OR 97420-0000 | 2005-07-07 |
| 1730173691 | Anton Erikovich Lotman | Psychiatry & Neurology | 1900 Woodland Drive, Coos Bay, OR 97420-0000 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346880606 | Danielle Goette | Massage Therapist | 320 Central Ave Suite 226, Coos Bay, OR 97420 | 2020-01-14 |
| 1730643735 | Nicole Hand-therapeutic Massage | Massage Therapist | 3229 Broadway Avenue, Suite D, Coos Bay, OR 97420 | 2019-01-24 |
| 1528531100 | A Better Reality | Clinic/Center | 2690 N. 17th Sstreet, Coos Bay, OR 97420 | 2019-01-07 |
| 1396216883 | Elizabeth Rose Stephens | Health Educator | 97381 Newport Lane, Coos Bay, OR 97420 | 2018-12-10 |
| 1093263386 | Megan Smith | Physician Assistant | 375 Park Ave Ste 5, Coos Bay, OR 97420 | 2016-09-14 |
| 1285091884 | Richard T Rigney | Counselor | 62754 Karl Road, Coos Bay, OR 97420 | 2016-01-27 |
| 1821493032 | James Thomas Agee | Pharmacist | 2051 Newmark Avenue, Walmart Pharmacy 1880, Coos Bay, OR 97420 | 2014-10-30 |
| 1346663895 | Steven D. Richardson D.m.d. L.l.c | Dentist | 1835 Ocean Blvd Se, Coos Bay, OR 97420 | 2014-02-03 |
| 1144669243 | Michael Jason Cole | Pharmacist | 1020 South First Ave, Coos Bay, OR 97420 | 2013-06-21 |
| 1639518053 | Jonathan Thomas Small | Physical Therapist | 2645 North 17th St, Coos Bay, OR 97420 | 2013-06-19 |
| Find all providers in zip 97420 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326024738 | Steven George Shimotakahara | Otolaryngology | 1900 Woodland Dr, Coos Bay, OR 97420-0000 | 2005-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1104289933 | Ci An Gerald Tay | Otolaryngology | 3181 Sw Sam Jackson Park Rd, Pv01, Portland, OR 97239 | 2016-03-30 |
| 1922471291 | Caitlin Bertelsen | Otolaryngology | 3303 Sw Bond Ave Ste 15, Portland, OR 97239-4501 | 2015-11-08 |
| 1326467812 | Tyler Scott Weaver | Otolaryngology | 1508 Division St Ste 115, Oregon City, OR 97045-1584 | 2014-04-10 |
| 1013286822 | Lawrence Thomas Eschelman | Otolaryngology | 3585 Cherokee Dr S, Salem, OR 97302-9712 | 2011-12-22 |
| 1962708578 | John A Lindgren, Md PC | Otolaryngology | 9155 Sw Barnes Rd Ste 401, Portland, OR 97225-6631 | 2011-01-28 |
| 1558674861 | Lucas Rein Rudmik | Otolaryngology | 3720 Sw Bond Ave Unit 2210, Portland, OR 97239-4577 | 2010-07-16 |
| 1134447741 | Aleen J Lee | Otolaryngology | 9280 Se Sunnybrook Blvd Ste 300, Clackamas, OR 97015 | 2010-05-06 |
| 1811164262 | Carrie Maiorana Brown | Otolaryngology | 24076 Se Stark St Ste 230, Gresham, OR 97030 | 2008-05-14 |
| 1114193448 | Ryan Jeffrey Li | Otolaryngology | 3181 Sw Sam Jackson Park Rd # 01, Portland, OR 97239-3011 | 2008-05-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. WILLIAM WALLACE WEBSTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.