Peter J Williams, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0829 Issued in TX

Practice address

1303 McCullough Ave
Suite 348
San Antonio, TX 78212-5609

Phone

(210) 227-4164

Fax

(210) 227-6708

NPI assigned

Nov 4, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: peter.williams.1@11434.direct.athenahealth.com

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1083605273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 CALLAGHAN RD",
            "address_2": "STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281106",
            "telephone_number": "210-227-8700",
            "fax_number": "210-348-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 MCCULLOUGH AVE",
            "address_2": "SUITE 348",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782125609",
            "telephone_number": "210-227-4164",
            "fax_number": "210-227-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "PETER",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "0829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092850903",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8A4608",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nekima Williams, O.D.
• Nevan Clay Williams, RRT
• Nora Roth Williams, LCSW
• Patchrapa Williams
• Patrick Chase Williams, PHARMD
• Rachel Leighan Williams
• Raeschell Dominique Williams, PHARMD, MPH
• Rebecca Marie Williams, O.D.
• Reyna Williams
• Rhonda Williams

• Foot & Ankle Surgery Podiatrist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.