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Contact Information

WILLIAM F SOUTHWORTH, MD
1151 HAZEL LANE
FARMINGTON, MO63640
 Phone: 573-747-1777
 Fax: 573-747-1077
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for WILLIAM F SOUTHWORTH · (Male)

NPI Number 1265499347
Status Active
Credentials MD
Entity Individual
Enumeration date 05/01/2006
Last updated 07/10/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036060822
  • MO License # R7100
  • MO Medicaid 1265499347
  • MO Other 1881863009 GROUP NPI
  • MO Other 000013185 MEDICARE GROUP PTAN
  • MO Other 131850001 MEDICARE PTAN
  • MO Other P00847517 RAILROAD MEDICARE
  • MO Other CI7050 RR GROUP
  • MO Other P00646568 RR PTAN
Hospital affiliation(s)
  • CENTRAL DUPAGE HOSPITAL - (Acute Care)
    25 NORTH WINFIELD ROAD
    WINFIELD, IL 60190
  • PARKLAND HEALTH CENTER - (Acute Care)
    1101 W LIBERTY
    FARMINGTON, MO 63640
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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