IndividualActive
William Price, RSA
NPI 1124176383 · Surgical Physician Assistant · Kenosha, WI
Provider details
- NPI number
- 1124176383
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RSA
- Sex
- Male
- Sole proprietor
- No
- License
- 238.000016 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4819 5th Ave
Unit 2
Kenosha, WI 53140-2924
Phone: (847) 917-3666
Fax: (888) 370-3138
Street-level locationGet directions
Mailing address
4819 5th Ave
Kenosha, WI 53140-2924
Registry dates
- Enumerated
- 2007-01-06
- Last updated
- 2014-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.