WILLIAM J PROVANCE DO NPI 1174517403

NPI Information

  • NPI: 1174517403
  • Provider Name: WILLIAM J PROVANCE, DO
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 681 GOODLETTE RD N
    STE 130
    NAPLES, FL
    ZIP 34102
  • Phone: (239) 643-9767

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NPI Details

William J Provance, DO is a gastroenterology internal medicine in Naples, FL with 38 years of experience. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. William J Provance, DO NPI is 1174517403. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1987

The provider's business location address is:

681 GOODLETTE RD N
STE 130
NAPLES, FL
ZIP 34102-458
Phone: (239) 643-9767
Fax: (239) 649-5878

The NPI 1174517403 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Review by radiologist of image from tube placement into bile duct using an endoscope (HCPCS:74328)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Blood test, clotting time (HCPCS:85610)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Colonoscopy (HCPCS:NAN13)
  • Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)

The enumeration date for this NPI number is 9/1/2005 and was last updated on 9/4/2014.

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
1207RG0100XInternal MedicineGastroenterologyOS12406FLORIDAYes

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
1HR381ZMEDICARE PINFLORIDA
20013977160006MEDICAIDPENNSYLVANIA
3P00252222OTHERPENNSYLVANIAPALMETTOGBA
4009945MEDICARE OSCAR/CERTIFICATION
5F39257MEDICARE UPINPENNSYLVANIA
6125483MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA

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: 3/30/2025

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