Provider Demographics
NPI:1598733719
Name:ROBERTS, WILLIAM H (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:H
Last Name:ROBERTS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6035 FAIRVIEW RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-3256
Mailing Address - Country:US
Mailing Address - Phone:704-295-3000
Mailing Address - Fax:704-295-3468
Practice Address - Street 1:6035 FAIRVIEW RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-3256
Practice Address - Country:US
Practice Address - Phone:704-295-3000
Practice Address - Fax:704-295-3468
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC34722207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC000000293915OtherUNISON HEALTH PLAN SC
NC40008037OtherRAILROAD MEDICARE
NC6200OtherDOCTORS HEALTH PLAN
NC6889OtherPARTNERS
NC1041435OtherUNITED HEALTHCARE
SC20049889OtherSELECT HEALTH OF SC
NC8972394Medicaid
NC20014OtherKANAWHA
NC561896112LOtherCIGNA
NC11358OtherWELLPATH
NC141014OtherCOVENTRY HEALTHCARE
NC4197796OtherAETNA
NC72394OtherBCBS
NC276568OtherMAMSI
SCG30369Medicaid
NC40594OtherMEDCOST
NC561896112LOtherCIGNA
NC8972394Medicaid