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1770586117

NPI Code Detail

MEDICARE: WILLIAM Y OH M.D.

MEDICARE: WILLIAM Y OH M.D.

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	207X00000X	Orthopaedic Surgery Physician	17710	KY
2	207X00000X	Orthopaedic Surgery Physician	80045	OH
3	207X00000X	Orthopaedic Surgery Physician	4301106667	MI
4	207X00000X	Orthopaedic Surgery Physician	01079317A	IN
5	207XS0106X	Orthopaedic Hand Surgery Physician	0101035843	VA
6	207XS0106X	Orthopaedic Hand Surgery Physician	80045	OH
7	207XX0801X	Orthopaedic Trauma Physician	80045	OH
8	207X00000X	Orthopaedic Surgery Physician	M-2293	GU

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P39740027	OTHER	MI	MEDICARE PTAN
6	H122863	OTHER	GU	MEDICARE PTAN

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
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	81381	OTHER	KY	COVENTRYCARES
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770586117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM Y OH M.D.

Provider Business Mailing Address
First Line	:	1501 W CHISHOLM ST
Second Line	:
City	:	ALPENA
State	:	MI
Zip	:	49707-1401
Country	:	US
Telephone Number	:	989-356-9333
Fax Number	:	989-356-0804

Provider Business Practice Location Address
First Line	:	388 YPAO RD
Second Line	:
City	:	TAMUNING
State	:	GU
Zip	:	96913-3701
Country	:	US
Telephone Number	:	671-646-8881
Fax Number	:	671-646-1292

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	04/25/2023

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Directions to “ WILLIAM Y OH M.D.” Practice Location

Language	Start Address	Practice Location

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