Paul D Williams, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00032911 Issued in WA

Practice address

208 Centralia College Blvd
Centralia, WA 98531-4007

Phone

(360) 736-0771

Fax

(360) 736-4867

NPI assigned

Jul 31, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2015 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Quick Clinic PLLC

  dba Washington Park Direct Care

  • Family Medicine Physician
  • Centralia, WA
  • NPI 1922696822
  NPD Authorized official
• L G Steck Memorial Clinic P S

  dba Steck Medical Group

  • Multi-Specialty Clinic/Center
  • Chehalis, WA
  • NPI 1710929252
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1184630089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 239",
            "address_2": "WASHINGTON PARK MEDICAL CENTER, INC",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985310239",
            "telephone_number": "360-736-0771",
            "fax_number": "360-736-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 CENTRALIA COLLEGE BLVD",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985314007",
            "telephone_number": "360-736-0771",
            "fax_number": "360-736-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "PAUL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00032911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080142399",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "WI2550",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1109248",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joann Wilkey, RN
• Bailey Williams, MA, LMHC
• Carolyn Williams
• David V Williams, MD
• Ian Keith Williams
• Bridgette Willing
• Rachel Willson
• Wilson & Wilson, DDS PLLC (Wilson & Wilson Dentistry)
• Barry K Wilson, M.D.
• Christian Patrick Wilson, D.D.S.

• Family Medicine Physician in Centralia, WA
• Providers in Centralia, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.