Provider Demographics
NPI:1932177037
Name:PEASE, WILLIAM V (DO)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:V
Last Name:PEASE
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:2500 ROCKY MOUNTAIN AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-9004
Mailing Address - Country:US
Mailing Address - Phone:970-619-6100
Mailing Address - Fax:970-619-6190
Practice Address - Street 1:2500 ROCKY MOUNTAIN AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-9004
Practice Address - Country:US
Practice Address - Phone:970-619-6100
Practice Address - Fax:970-619-6190
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2016-11-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036112671207R00000X
NE506207R00000X, 207RP1001X, 207RC0200X
NH15262207RP1001X
CODR.0057616207RP1001X, 207RC0200X, 207RS0012X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036112671Medicaid
ME1720077167-011Medicaid
NHP00970878OtherRAILROAD MEDICARE
NH30229059Medicaid
ME1720077167-011Medicaid
IL036112671Medicaid
ME1720077167-011Medicaid