Provider Demographics
NPI:1710107016
Name:WILLIAM P MAIER MD PC
Entity Type:Organization
Organization Name:WILLIAM P MAIER MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:MAIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:541-434-5585
Mailing Address - Street 1:633 E 11TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-3602
Mailing Address - Country:US
Mailing Address - Phone:541-434-5585
Mailing Address - Fax:541-345-2821
Practice Address - Street 1:633 E 11TH AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-3602
Practice Address - Country:US
Practice Address - Phone:541-434-5585
Practice Address - Fax:541-345-2821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR028683Medicaid
OR028683Medicaid
ORD30120Medicare UPIN