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1477550374

NPI Code Detail

MEDICARE: JOHN WILLIAM HAMILL MD

MEDICARE: JOHN WILLIAM HAMILL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD00040582	WA
2	208000000X	Pediatrics Physician	MD00040582	WA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P01505060	OTHER	WA	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477550374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN WILLIAM HAMILL MD

Provider Business Mailing Address
First Line	:	820 N CHELAN AVE
Second Line	:
City	:	WENATCHEE
State	:	WA
Zip	:	98801-2028
Country	:	US
Telephone Number	:	509-663-8711
Fax Number	:

Provider Business Practice Location Address
First Line	:	916 KOALA AVE
Second Line	:
City	:	OMAK
State	:	WA
Zip	:	98841-9576
Country	:	US
Telephone Number	:	509-663-8711
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	10/07/2015

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Directions to “ JOHN WILLIAM HAMILL MD” Practice Location

Language	Start Address	Practice Location

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