Provider Demographics
NPI:1649251935
Name:FERRAR, WILLIAM (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:FERRAR
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 1:2004 BREMO RD
Mailing Address - Street 2:STE 201
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-2442
Mailing Address - Country:US
Mailing Address - Phone:804-223-1640
Mailing Address - Fax:804-239-1655
Practice Address - Street 1:2004 BREMO RD
Practice Address - Street 2:STE 201
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-2442
Practice Address - Country:US
Practice Address - Phone:804-239-1640
Practice Address - Fax:804-239-1655
Is Sole Proprietor?:No
Enumeration Date:2005-11-14
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101026355174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006089119Medicaid
VA1649251935Medicaid
VA110155799OtherMEDICARE RAILROAD
VA141498OtherANTHEM
VA006089119Medicaid
VA019038P86Medicare PIN