Basic Information
| Provider Information | |||||||||
| NPI: | 1821095845 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ARMINGTON | ||||||||
| FirstName: | WILLIAM | ||||||||
| MiddleName: | GEORGE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 750 | ||||||||
| Address2: | |||||||||
| City: | ASTORIA | ||||||||
| State: | OR | ||||||||
| PostalCode: | 971030750 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5033252272 | ||||||||
| FaxNumber: | 5033258529 | ||||||||
| Practice Location | |||||||||
| Address1: | 2111 EXCHANGE ST | ||||||||
| Address2: | |||||||||
| City: | ASTORIA | ||||||||
| State: | OR | ||||||||
| PostalCode: | 971033329 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5033387525 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/05/2005 | ||||||||
| LastUpdateDate: | 07/25/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085N0700X | 08567R | LA | N | Allopathic & Osteopathic Physicians | Radiology | Neuroradiology | 2085R0202X | 08567R | LA | N | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | 2085R0202X | 15840 | MS | N | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | 2085R0202X | L4225 | TX | N | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | 2085R0202X | 79147 | FL | N | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | 2085N0700X | L4225 | TX | N | Allopathic & Osteopathic Physicians | Radiology | Neuroradiology | 2085R0202X | MD27519 | OR | Y | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | 2085N0700X | MD27519 | OR | N | Allopathic & Osteopathic Physicians | Radiology | Neuroradiology |
ID Information
| ID | Type | State | Issuer | Description | 177270903 | 01 | TX | CSHCN | OTHER | 1908673 | 05 | LA | MEDICAID | 006225 | 05 | OR | MEDICAID | 177270902 | 05 | TX | MEDICAID | 177270901 | 05 | TX | MEDICAID |