Individual provider Active NPI

Byron D. Williams, MD

  • Anesthesiology Physician
  • El Dorado, AR
National Provider Identifier
1063492205
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
78202 Issued in MA
Practice address
700 W Grove St
El Dorado, AR 71730-4416
Phone
(954) 838-2371
NPI assigned
Jan 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME73002 FL
Anesthesiology Physician 207L00000X 78202 MA Primary

Addresses

Primary practice location

700 W Grove St
El Dorado, AR 71730-4416

Mailing address

PO Box 452035
Sunrise, FL 33345-2035

Other identifiers 1

IdentifierTypeStateIssuer
131147001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MA, PA, NC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20050727000992 AR Practitioner - Anesthesiology 4284602152 Reassigns benefits to 1 organization
I20131107000779 MA Practitioner - Anesthesiology 4284602152 Reassigns benefits to 2 organizations
I20160114000960 PA Practitioner - Anesthesiology 4284602152 Reassigns benefits to 2 organizations
I20180904001836 NC Practitioner - Anesthesiology 4284602152 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME73002FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Anesthesia Services Group Inc Anesthesiology CurrentSince Jul 1, 2018 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Aug 1, 2022 Accepting new patients
Lahey Clinic, Inc. CurrentSince Jun 2, 2021 Accepting new patients
Premier Anesthesia of Arkansas Professional Corporation Anesthesiology CurrentSince Aug 4, 2014 Accepting new patients
Geisinger Clinic CurrentSince Jan 1, 2016 Accepting new patients
Lahey Clinic, Inc CurrentSince Jun 2, 2021 Accepting new patients
Geisinger Clinic CurrentSince Jan 1, 2016 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger-HM Joint Venture, LLC Current Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Aug 1, 2022 Accepting new patients
Stuttgart Regional Medical Center Past Accepting new patients
South Georgia Regional Anesthesia, PC Past Accepting new patients
Stuttgart Regional Medical Center Past Accepting new patients
Anesthesiology Medical Services PSC Anesthesiology Past Accepting new patients
Little Rock Outpatient Surgery Center, LLC Past Accepting new patients
Emergency Physician Specialists Inc PastSince Feb 1, 2013 Accepting new patients
Little Rock Outpatient Surgery Center, LLC Past Accepting new patients
Sheridan Healthcare of Arkansas PA Anesthesiology Past Accepting new patients

Locations

3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000

3215 N Northhills Blvd
Ste B
Fayetteville, AR 72703
Phone (479) 463-1000

2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

100 N Academy Ave
Danville, PA 17822

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

255 Route 220 Hwy
Muncy, PA 17756
Phone (570) 308-2600

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1137801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1063492205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 452035",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333452035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W GROVE ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304416",
            "telephone_number": "954-838-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BYRON",
        "middle_name": "D.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-21",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME73002",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "78202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131147001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, AR

Sources for this page

Verify at the official NPI Registry.