NPIMap

Individual provider Active NPI

Justin Allen Williams, D.O.

  • Hematology & Oncology Physician
  • Mount Vernon, KY
National Provider Identifier
1194018689
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
03718 Issued in KY
Practice address
145 Newcomb Ave
Mount Vernon, KY 40456
Phone
(606) 256-7798
NPI assigned
May 17, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R2674 KY
Hematology & Oncology Physician 207RH0003X 03718 KY Primary

Addresses

Primary practice location

145 Newcomb Ave
Mount Vernon, KY 40456

Mailing address

Rockcastle Regional Hospital
145 Newcomb Ave.
Mt. Vernon, KY 40456
Phone (606) 256-7798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170717002838 KY Practitioner - Hematology/OncologyPractitioner - Internal Medicine 3779893524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockcastle County Hospital, Inc.Group PAC ID 6103727433, 38 clinicians

Practice addresses (Care Compare)

145 Newcombe Ave
Mount Vernon, KY 40456-2733
Phone (606) 256-2195

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R2674KYMDInternal Medicine Physician
03718KYMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockcastle County Hospital, Inc. Internal Medicine CurrentSince Jul 1, 2017 Accepting new patients
Rockcastle County Hospital, Inc. Past Accepting new patients
Rockcastle County Hospital, Inc. Internal Medicine Past Accepting new patients

Locations

145 Newcomb Ave
Mount Vernon, KY 40456
Phone (606) 256-2195

Interoperability endpoints

  • Direct secure messaging: rhcwilliaj@yourcarecommunity.org

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 and National Provider Directory roles.

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": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1194018689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ROCKCASTLE REGIONAL HOSPITAL",
            "address_2": "145 NEWCOMB AVE.",
            "city": "MT. VERNON",
            "state": "KY",
            "postal_code": "40456",
            "telephone_number": "606-256-7798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 NEWCOMB AVE",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "40456",
            "telephone_number": "606-256-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JUSTIN",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-17",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "R2674",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "KY",
            "license": "03718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, KY

Sources for this page

Verify at the official NPI Registry.