MR. WILLIAM JAMES ADERHOLD PA NPI 1003975707

NPI Information

  • NPI: 1003975707
  • Provider Name: MR. WILLIAM JAMES ADERHOLD, PA
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • Address: 105 GAY ST
    ERWIN, TN
    ZIP 37650
  • Phone: (423) 743-6141

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NPI Details

MR. William James Aderhold, PA is a physician assistant in Erwin, TN. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. MR. William James Aderhold, PA NPI is 1003975707. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

105 GAY ST
ERWIN, TN
ZIP 37650
Phone: (423) 743-6141
Fax: (423) 743-1083

The enumeration date for this NPI number is 12/8/2006 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant1667TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11510917MEDICAIDTENNESSEE
211914419OTHERCAQH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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