Individual provider Active NPI

Daniel Williams

  • Family Medicine Physician
  • Libby, MT
National Provider Identifier
1184155442
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MED-PHYS-LIC-86997 Issued in MT
Practice address
320 E 2ND St
Libby, MT 59923-2010
Phone
(406) 283-6919
NPI assigned
Mar 27, 2017
Last updated
Sep 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MED-PHYS-LIC-86997 MT Primary

Addresses

Primary practice location

320 E 2ND St
Libby, MT 59923-2010

Mailing address

320 E 2ND St
Libby, MT 59923-2010
Phone (406) 283-6919

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201005002581 MT Practitioner - Family Practice 1456637008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Virginia School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

320 E 2ND St
Libby, MT 59923-2010
Phone (406) 283-6900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln County Community Health Center Inc CurrentSince Sep 28, 2020 Accepting new patients
Lincoln County Community Health Center, Inc. CurrentSince Sep 28, 2020 Accepting new patients
Utah Healthcare Institute Inc Family Medicine PastSince Jul 1, 2000 Accepting new patients
Lincoln County Community Health Center, Inc Past Accepting new patients
Libby of Cascadia, LLC Past Accepting new patients
St. John's Lutheran Hospital, Inc. Family Medicine Past Accepting new patients

Locations

308 E 3rd St
Libby, MT 59923
Phone (406) 293-3032

320 E 2nd St
Libby, MT 59923
Phone (406) 283-6900

Interoperability endpoints

  • Direct secure messaging: taylor.williams@nwchc.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1184155442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E 2ND ST",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232010",
            "telephone_number": "406-283-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E 2ND ST",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232010",
            "telephone_number": "406-283-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-27",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "MED-PHYS-LIC-86997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libby, MT

Sources for this page

Verify at the official NPI Registry.