Provider Demographics
NPI:1184682619
Name:SPRINGER, WILLIAM M (DPM)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:M
Last Name:SPRINGER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:L-3549
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43260-0001
Mailing Address - Country:US
Mailing Address - Phone:740-383-7927
Mailing Address - Fax:740-383-7942
Practice Address - Street 1:1050 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-6416
Practice Address - Country:US
Practice Address - Phone:740-383-7099
Practice Address - Fax:740-382-9125
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH360026945213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0837830Medicaid
2266431OtherAETNA
2700089OtherUHC
480029177OtherTRAVELERS MEDICARE
OH000000118393OtherANTHEM
353077OtherSUBMITTER NO
OHH128600Medicare PIN
2700089OtherUHC
OH000000118393OtherANTHEM
311098079OtherCIGNA
OH0692547Medicare ID - Type Unspecified
480029177OtherTRAVELERS MEDICARE
U20939Medicare UPIN