Provider Demographics
NPI:1003807033
Name:ADDINGTON, WILLIAM E (DO)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:E
Last Name:ADDINGTON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5450 FRANTZ RD STE 360
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-4141
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:73 SPORTSMAN DR
Practice Address - Street 2:
Practice Address - City:MARENGO
Practice Address - State:OH
Practice Address - Zip Code:43334-1800
Practice Address - Country:US
Practice Address - Phone:672-330-4105
Practice Address - Fax:614-533-1440
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34-00-7270-A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2240480Medicaid
OHAD4155223Medicare PIN
OH2240480Medicaid
OHH137050Medicare UPIN