Individual provider Active NPI

Ronald Kenneth Williams Jr., D.O

  • Family Medicine Physician
  • West Palm Beach, FL
National Provider Identifier
1104894716
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS-7492 Issued in FL
Practice address
7305 North Military Trail
West Palm Beach, FL 33410-6400
Phone
(561) 254-0515
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS-7492 FL Primary

Addresses

Primary practice location

7305 North Military Trail
West Palm Beach, FL 33410-6400

Mailing address

2415 Westmont Dr
Royal Palm Beach, FL 33411-6139
Phone (561) 791-9931

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190611001405 FL Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 8820029119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS-7492FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Belle Glade Emergency Physicians LLC Past Accepting new patients
Jesup Emergency Services, LLC Past Accepting new patients
Western Communities Family Practice Assoc Inc Family Medicine Past Accepting new patients
Allendale County Hospital Board Past Accepting new patients
South Carolina Health Service Family Medicine Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188950400000",
    "number": "1104894716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 WESTMONT DR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334116139",
            "telephone_number": "561-791-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7305 NORTH MILITARY TRAIL",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106400",
            "telephone_number": "561-254-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RONALD",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2007-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS-7492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.