Active NPI
Alan Robertson Williams II, M.D.
- Emergency Medicine Physician
- Clackamas, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD158945
- Practice address
- 10180 SE Sunnyside Road
Emergency Department
Clackamas, OR 97015 - Phone
- (503) 652-2880
- NPI assigned
- Jan 30, 2008
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD158945 | OR | Primary |
Addresses
Primary practice location
10180 SE Sunnyside Road
Emergency Department
Clackamas, OR 97015
Mailing address
10180 SE Sunnyside Road
Emergency Department
Clackamas, OR 97015
Phone (503) 652-2880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 96.73
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Acute Care Specialists PC | Emergency Medicine | Current | Accepting new patients |
| Providence Health & Services - Oregon | Emergency Medicine | Current | Accepting new patients |
| Providence Health & Services - Oregon | Emergency Medicine | Current | Accepting new patients |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Emergency Medicine | Current | Accepting new patients |
| Providence Health & Services - Oregon | Emergency Medicine | Current | Accepting new patients |
Locations
1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250
1001 N Providence Dr
Newberg, OR 97132
Phone (503) 216-1538
2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200
2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985
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.
-
- Emergency Medicine Physician
- Portland, OR
- NPI 1215983200
-
- Clinic/Center
- Medford, OR
- NPI 1093976243
-
- General Acute Care Hospital
- Newberg, OR
- NPI 1952482275
Emergency Medicine
-
- Clinical Pathology Physician
- Newberg, OR
- NPI 1174074868
Emergency Medicine
-
- Clinical Pathology Physician
- Medford, OR
- NPI 1285185942
Emergency Medicine
-
- General Acute Care Hospital
- Medford, OR
- NPI 1689755670
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346889600000",
"number": "1174700215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10180 SE SUNNYSIDE ROAD",
"address_2": "EMERGENCY DEPARTMENT",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "97015",
"telephone_number": "503-652-2880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10180 SE SUNNYSIDE ROAD",
"address_2": "EMERGENCY DEPARTMENT",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "97015",
"telephone_number": "503-652-2880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ALAN",
"middle_name": "ROBERTSON",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-30",
"last_updated": "2012-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OR",
"license": "MD158945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.