Individual provider Active NPI

Vernon Florinzel Williams, M.D.

  • Emergency Medicine Physician
  • Jourdanton, TX
National Provider Identifier
1033180252
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
H9732 Issued in TX
Practice address
1905 Highway 97 E
Jourdanton, TX 78026-1504
Phone
(210) 559-5959
Fax
(210) 479-9605
NPI assigned
Jan 27, 2006
Last updated
Apr 29, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X H9732 TX Primary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X H9732 TX

Addresses

Primary practice location

1905 Highway 97 E
Jourdanton, TX 78026-1504

Mailing address

112 Canter Gait
Shavano Park, TX 78231-1458
Phone (210) 559-5959

Other identifiers 2

IdentifierTypeStateIssuer
139715017MedicaidTX
139715022MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041030000145 TX Practitioner - Emergency MedicinePractitioner - Family Practice 1658333851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maverick Emergency Medicine Associates PAGroup PAC ID 6002878337, 12 clinicians

Practice addresses (Care Compare)

3333 N Foster Maldonado Blvd
Eagle Pass, TX 78852-5893
Phone (830) 773-5321

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.48 of 100Reported as group
Quality
90.84
Improvement activities
40
Cost
70.48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mohammad Hussain MD PA PastSince Apr 30, 2003 Accepting new patients
Vernon F. Williams MD PA Emergency Medicine Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398729600000",
    "number": "1033180252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 CANTER GAIT",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782311458",
            "telephone_number": "210-559-5959",
            "fax_number": "210-479-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 HIGHWAY 97 E",
            "city": "JOURDANTON",
            "state": "TX",
            "postal_code": "780261504",
            "telephone_number": "210-559-5959",
            "fax_number": "210-479-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "VERNON",
        "middle_name": "FLORINZEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2014-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "H9732",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TX",
            "license": "H9732",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139715017",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139715022",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jourdanton, TX

Sources for this page

Verify at the official NPI Registry.