Provider Demographics
NPI:1790866085
Name:CRESS, WILLIAM FORREST (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:FORREST
Last Name:CRESS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:246 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:UKIAH
Mailing Address - State:CA
Mailing Address - Zip Code:95482-4533
Mailing Address - Country:US
Mailing Address - Phone:707-463-8011
Mailing Address - Fax:707-463-8044
Practice Address - Street 1:246 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:UKIAH
Practice Address - State:CA
Practice Address - Zip Code:95482-4533
Practice Address - Country:US
Practice Address - Phone:707-463-8011
Practice Address - Fax:707-463-8044
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG35296174400000X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G352960Medicaid
CARHC 148390OtherFLUOROSCOPY
CAA46297Medicare UPIN
CAAY451ZMedicare PIN
CA00G352960Medicare PIN