Active NPI
Talena Cox Williams, PA-C
- Surgical Physician Assistant
- Vail, CO
National Provider Identifier
1184602823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA0004483
- Practice address
- 181 W Meadow Dr
Suite 400
Vail, CO 81657-5242 - Phone
- (970) 479-5792
- Fax
- (970) 479-5862
- NPI assigned
- Jan 4, 2006
- Last updated
- Aug 12, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 0110001693 | VA | |
| Surgical Physician Assistant | 363AS0400X | PA0004483 | CO | Primary |
Addresses
Primary practice location
181 W Meadow Dr
Suite 400
Vail, CO 81657-5242
Mailing address
181 W Meadow Dr
Suite 400
Vail, CO 81657-5242
Phone (970) 479-5792
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00847896 | Other | VA | RAILROAD MEDICARE |
| 1184602823 | Other | VA | OPTIMA HEALTH PLAN |
| 1184602823 | Other | VA | MEDICAID QMB |
| 1184602823 | Other | VA | INTOTAL |
| 540506332115 | Other | VA | TRICARE/CHAMPUS |
| 1184602823 | Other | VA | HUMANA MEDICARE |
| 1184602823 | Other | VA | UMWA |
| 1184602823 | Other | VA | AETNA |
| 1184602823 | Other | VA | SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY |
| 1184602823 | Other | VA | ANTHEM MEDIGAP |
| 371194700 | Other | VA | BLACK LUNG |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA0004483 | CO | MD | Surgical Physician Assistant |
| 0110001693 | VA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steadman Clinic Professional LLC | Past | Accepting new patients | |
| Steadman Clinic Professional LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba The Steadman Clinic
- Orthopaedic Surgery Physician
- Grand Junction, CO
- NPI 1265325542
-
- Specialist
- Frisco, CO
- NPI 1861936734
-
- Specialist
- Vail, CO
- NPI 1952327835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470960000000",
"number": "1184602823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 W MEADOW DR",
"address_2": "SUITE 400",
"city": "VAIL",
"state": "CO",
"postal_code": "816575242",
"telephone_number": "970-479-5792",
"fax_number": "970-479-5862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 W MEADOW DR",
"address_2": "SUITE 400",
"city": "VAIL",
"state": "CO",
"postal_code": "816575242",
"telephone_number": "970-479-5792",
"fax_number": "970-479-5862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "TALENA",
"middle_name": "COX",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-04",
"last_updated": "2016-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "VA",
"license": "0110001693",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CO",
"license": "PA0004483",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00847896",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA HEALTH PLAN",
"identifier": "1184602823",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID QMB",
"identifier": "1184602823",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTOTAL",
"identifier": "1184602823",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE/CHAMPUS",
"identifier": "540506332115",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA MEDICARE",
"identifier": "1184602823",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA",
"identifier": "1184602823",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1184602823",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY",
"identifier": "1184602823",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM MEDIGAP",
"identifier": "1184602823",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG",
"identifier": "371194700",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vail, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.