Active NPI
Mark X. Williams
- Ambulance
- Memphis, TN
National Provider Identifier
1144455684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 341600000X
- Practice address
- 6576 Pine Top Cir S
Memphis, TN 38141-7800 - Phone
- (901) 619-8800
- Fax
- (901) 795-6861
- NPI assigned
- May 28, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ambulance | 341600000X | 341600000X | TN | Primary |
Addresses
Primary practice location
6576 Pine Top Cir S
Memphis, TN 38141-7800
Mailing address
6576 Pine Top Circle South
Memphis, TN 38141-7844
Phone (901) 619-8800
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 341600000X | TN | MD | Ambulance |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243468800000",
"number": "1144455684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6576 PINE TOP CIRCLE SOUTH",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381417844",
"telephone_number": "901-619-8800",
"fax_number": "901-795-6861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6576 PINE TOP CIR S",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381417800",
"telephone_number": "901-619-8800",
"fax_number": "901-795-6861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MARK",
"middle_name": "X.",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-28",
"last_updated": "2009-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "TN",
"license": "341600000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.