Active NPI
Michael Ray Williams, D.O.
- Anesthesiology Physician
- Fredericksburg, TX
National Provider Identifier
1093783011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- GO288
- Practice address
- 415 S Washington St
Fredericksburg, TX 78624-4636 - Phone
- (830) 997-9170
- Fax
- (830) 997-9226
- NPI assigned
- Mar 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | GO288 | TX | Primary |
Addresses
Primary practice location
415 S Washington St
Fredericksburg, TX 78624-4636
Mailing address
PO Box 233
Fredericksburg, TX 78624-0233
Phone (830) 997-9170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88770G | Other | TX | BCBS TX |
Other names 1
- Michael Williams
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GO288 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Consultants of Fredericksburg | Anesthesiology | Past | Accepting new patients |
| Cole Physical Therapy Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Fredericksburg, TX
- NPI 1356318513
-
- Physical Therapy Clinic/Center
- Fredericksburg, TX
- NPI 1255342093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196294400000",
"number": "1093783011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 233",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786240233",
"telephone_number": "830-997-9170",
"fax_number": "830-997-9226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 S WASHINGTON ST",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786244636",
"telephone_number": "830-997-9170",
"fax_number": "830-997-9226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MICHAEL",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2007-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "GO288",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TX",
"identifier": "88770G",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHAEL",
"last_name": "WILLIAMS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Fredericksburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.