Healthcare Provider Details

I. General information

NPI: 1033187620
Provider Name (Legal Business Name): WILLIAM G WARD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2006
Last Update Date: 11/19/2024
Certification Date: 11/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 HOSPITAL RD
WHITESBURG KY
41858
US

IV. Provider business mailing address

1405 W PARK ST
URBANA IL
61801-2367
US

V. Phone/Fax

Practice location:
  • Phone: 606-633-3526
  • Fax: 606-633-3814
Mailing address:
  • Phone: 217-337-3865
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number036072703
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: