Stacy J Williams, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

0102202248 Issued in VA

Practice address

1500 N 28TH St
Emergency Medicine Department
Richmond, VA 23223-5332

Phone

(804) 225-1780

Fax

(804) 225-1705

NPI assigned

Jan 10, 2006

Last updated

Mar 12, 2013By the provider in NPPES

Sex

Female

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 3

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

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.

• Emergency Coverage, LLC

  dba Emergency Coverage Corporation of TeamHealth

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008

  Emergency Medicine, VA

  Medicare reassignment NPD
• Dan River Emergency Services LLC

  • Emergency Medicine Physician
  • Danville, VA
  • NPI 1760740435
  NPD (past)
• The Daily Planet Inc,

  dba Daily Planet Health Services

  • Federally Qualified Health Center (FQHC)
  • Richmond, VA
  • NPI 1679325435
  NPD (past)
• Emergency Coverage Services, PC

  • Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1053351593
  NPD (past)

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1083693972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38935 ANN ARBOR RD",
            "address_2": "CREDENTIALING/PAYER CONTRACTING",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503397",
            "telephone_number": "734-632-0175",
            "fax_number": "734-632-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N 28TH ST",
            "address_2": "EMERGENCY MEDICINE DEPARTMENT",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232235332",
            "telephone_number": "804-225-1780",
            "fax_number": "804-225-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "STACY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0102202248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083693972",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083693972",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0158204604",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serina Ashley Williams, MD
• Shannon D Williams, NP
• Shelley Theresa Williams, OTR
• Shenita Williams, LCSW
• Stacey Schottler Williams, LCSW
• Susan Williams, FNP-BC
• Susan C Williams, MD
• Sydnee Williams
• Ted A Williams, M.D.
• Tegan Leigh Williams, PHARM.D.

• Emergency Medicine Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Emergency Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.