Williamson County

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

WILLIAMSON COUNTY

Doing business as

Williamson County Emergency Medical Services

Practice address

3189 SE Inner Loop
Georgetown, TX 78626

Phone

(512) 943-1264

Fax

(512) 943-1269

NPI assigned

Mar 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael J Knipstein

Title

Director

Phone

(512) 943-1264

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Williamson County Emergency Medical Services Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Louis Bruno Fornage, MD

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1003279704
  NPD
• Joshua Michael McDermott, LICENSED PARAMEDIC

  • Paramedic
  • Georgetown, TX
  • NPI 1538080916
  NPD (past)

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1114995586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270230429",
            "telephone_number": "800-814-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3189 SE INNER LOOP",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "78626",
            "telephone_number": "512-943-1264",
            "fax_number": "512-943-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "KNIPSTEIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "512-943-1264",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590539378",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119643801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williamson County Emergency Medical Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Williamson County Emergency Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Latisha Williams
• Rhonda Williams, LPC
• Scott Monroe Williams, DDS
• Timothy Williams, DPT
• Williamson Burnet County Opportunites, Inc. (Opportunities for Williamson & Burnet Counties)
• John Greg Willis, MD
• Alora Elizabeth Wilson I
• Amber Wilson
• Amber Nicole Wilson, RBT
• Emily Jane Wilson

• Land Ambulance in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.