Active NPI
Judith Lynn Williams, M.D.
- Surgery Physician
- Lakewood, CO
National Provider Identifier
1114113263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 33022
- Practice address
- 12610 W Bayaud Ave
#10
Lakewood, CO 80228-2022 - Phone
- (303) 501-2793
- NPI assigned
- Sep 22, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 33022 | CO | Primary |
Addresses
Primary practice location
12610 W Bayaud Ave
#10
Lakewood, CO 80228-2022
Mailing address
12610 W Bayaud Ave
#10
Lakewood, CO 80228-2022
Phone (804) 366-5206
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01330224 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Virginia Commonwealth University, School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Highway 191 and Hospital Rd
Chinle, AZ 86503-8000
Phone 92867470307030
PO Box PH
Chinle, AZ 86503-8000
Hospital & facility affiliations
- Chinle Comprehensive Health Care Facility
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.86 of 100
- Quality
- 61.32
- Improvement activities
- 40
- Cost
- 90.46
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33022 | CO | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuba City Regional Health Care Corporation | Current | Accepting new patients | |
| DHHS PHS Naihs Chinle Comprehensive | Current | Accepting new patients | |
| Tuba City Regional Health Care Corporation | Surgery | Current | Accepting new patients |
| DHHS PHS Naihs Chinle Comprehensive Health Care Facility | Current | Accepting new patients | |
| DHHS,PHS,Naihs, Gallup Indian Medical Center | Current | Accepting new patients | |
| Tuba City Regional Health Care Corporation | Current | Accepting new patients |
Locations
516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Chinle, AZ
- NPI 1508800129
TX
-
- General Acute Care Hospital
- Gallup, NM
- NPI 1225002322
TX
-
- General Acute Care Hospital
- Tuba City, AZ
- NPI 1548294424
Surgery, TX
-
- Ambulatory Surgical Clinic/Center
- Chinle, AZ
- NPI 1922253129
-
- Family Medicine Physician
- Kykotsmovi, AZ
- NPI 1396921870
-
- Family Medicine Physician
- Bodaway Gap, AZ
- NPI 1710519913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484784000000",
"number": "1114113263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12610 W BAYAUD AVE",
"address_2": "#10",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802282022",
"telephone_number": "804-366-5206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12610 W BAYAUD AVE",
"address_2": "#10",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802282022",
"telephone_number": "303-501-2793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JUDITH",
"middle_name": "LYNN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-22",
"last_updated": "2017-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CO",
"license": "33022",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01330224",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.