Provider Demographics
NPI:1619915469
Name:NOBLE, WILLIAM H III (DO)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:H
Last Name:NOBLE
Suffix:III
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 1:4853 GALAXY PKWY
Mailing Address - Street 2:SUITE I
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44128-5973
Mailing Address - Country:US
Mailing Address - Phone:216-831-9786
Mailing Address - Fax:216-831-2425
Practice Address - Street 1:4853 GALAXY PKWY
Practice Address - Street 2:SUITE I
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44128-5973
Practice Address - Country:US
Practice Address - Phone:216-831-9786
Practice Address - Fax:216-831-2425
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2014-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34-00-4272N2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0684611Medicaid
OH0684611Medicaid
PA109715WDGMedicare PIN
OHNO0640307Medicare PIN
OHNO0640306Medicare ID - Type Unspecified
OHNO4164212Medicare PIN
OHNO4164211Medicare PIN
OHNO0640309Medicare PIN
OHNO0640308Medicare PIN