Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
DR. WILLIAM WALLACE ANDERSON
Active
Individual
DR. WILLIAM WALLACE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
78-105
NM
225B00000X
Pulmonary Function Technologist
78105
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17418
—
NM
01
—
85-0455201
FEDID
NM
01
—
850455201
DEFAULT NUMBER
NM
Enumeration date
10/26/2006
Last updated
11/13/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up