Provider Demographics
NPI:1306200225
Name:MAYERS, WILLIAM FREDERICK (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:FREDERICK
Last Name:MAYERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 CUMMINGS CTR STE 221U
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-6183
Mailing Address - Country:US
Mailing Address - Phone:978-927-7246
Mailing Address - Fax:978-927-7249
Practice Address - Street 1:900 CUMMINGS CTR STE 221U
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-6183
Practice Address - Country:US
Practice Address - Phone:978-927-7246
Practice Address - Fax:978-927-7249
Is Sole Proprietor?:No
Enumeration Date:2016-04-06
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036148264207LP2900X
MA287639207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine