Provider Demographics
NPI:1902827579
Name:HAMMETT, WILLIAM BEATTY (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:BEATTY
Last Name:HAMMETT
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:PO BOX 7527
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-0727
Mailing Address - Country:US
Mailing Address - Phone:740-615-2700
Mailing Address - Fax:740-615-2701
Practice Address - Street 1:460 W CENTRAL AVE
Practice Address - Street 2:SUITE D
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-1435
Practice Address - Country:US
Practice Address - Phone:740-615-2700
Practice Address - Fax:740-615-2701
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHVA-47180174400000X
OH35.074556207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2076819Medicaid
OH2076819Medicaid
HA0863971Medicare PIN