Jacob R. Williams, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2475 E Broadway St
Helena, MT 59601-4928

Phone

(406) 442-2480

NPI assigned

Oct 20, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• St Peters Community Hospital

  • Multi-Specialty Clinic/Center
  • Helena, MT
  • NPI 1033354683
  Medicare reassignment NPD
• Lewis and Clark Emergency Physicians P C

  • Emergency Medicine Physician
  • Helena, MT
  • NPI 1083668651
  Medicare reassignment
• St. Peter'S Health

  • Radiology Clinic/Center
  • Butte, MT
  • NPI 1194785154
  NPD
• Village of McFarland

  • Land Ambulance
  • McFarland, WI
  • NPI 1255447462
  NPD (past)

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255996800000",
    "number": "1174859540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5270",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730705270",
            "telephone_number": "866-321-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 E BROADWAY ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014928",
            "telephone_number": "406-442-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JACOB",
        "middle_name": "R.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Williams-Murray, MA
• Amanda Lee Williams
• Ashley Jo Williams
• Colton James Williams, DNP, APRN, FNP-C
• David Williams, LCSW
• Jamey Daniel Williams
• Kendra Williams
• Lanae G Williams, PA
• Megan Williams
• Megan Eileen Williams, MSW, LCSW

• Physician Assistant in Helena, MT
• Providers in Helena, MT by specialty
• Physician Assistant in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.