Provider Demographics
NPI:1306810874
Name:TRUSWELL, WILLIAM H (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:H
Last Name:TRUSWELL
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 1:16 RIVERDALE RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01073-9435
Mailing Address - Country:US
Mailing Address - Phone:413-433-0195
Mailing Address - Fax:
Practice Address - Street 1:61 LOCUST ST
Practice Address - Street 2:#2
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-2018
Practice Address - Country:US
Practice Address - Phone:413-587-0600
Practice Address - Fax:413-585-5112
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-14
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA394452086S0122X
MA39455207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
No2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA04-3342311OtherNORTHEAST HEALTH DIRECT
MA04-3342311OtherNORTHEAST HEALTHCARE ALLI
MA2044293Medicaid
MA786654OtherAETNA
MA04-3342311OtherGREAT-WEST
MA17243OtherHEALTH NEW ENGLAND
MA19618OtherHARVARD PILGRIM
MA768732OtherTUFTS
MAF18007OtherBCBSMA
MA04-3342311OtherPLAN VISTA
MA04-3342311OtherUNICARE/GIC
MA1998362OtherCIGNA
MA742311OtherCONNECTICARE
MA04-3342311OtherPRIVATE HEALTHCARE SYSTEM
MA04-3342311OtherNORTH AMERICAN PREFERRED
MA04-3342311OtherCONSOLIDATED