Dan A Williams Jr.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

0102201639 Issued in VA

Practice address

2232 Wilborn Ave
South Boston, VA 24592

Phone

(434) 517-3832

Fax

(434) 517-3649

NPI assigned

Aug 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

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

• Pasco County Emergency Physicians LLC

  • Emergency Medicine Physician
  • New Port Richey, FL
  • NPI 1568771707
  Medicare reassignment NPD
• Tampa Bay Emergency Physicians LLC

  • Emergency Medicine Physician
  • Tampa, FL
  • NPI 1114977428
  Medicare reassignment NPD
• Baxley Emergency Physicians LLC

  • Emergency Medicine Physician
  • New Port Richey, FL
  • NPI 1538118484
  NPD (past)
• Bay Area Emergency Physicians Urgent Care LLC

  • Emergency Medicine Physician
  • Largo, FL
  • NPI 1437552809
  NPD (past)
• Capri Emergency Physicians

  • Emergency Medicine Physician
  • Hudson, FL
  • NPI 1659579233
  NPD (past)
• Florida Em-I Medical Services PA

  • Emergency Medicine Physician
  • Lakeland, FL
  • NPI 1871542720
  NPD (past)
• Osprey Emergency Physicians LLC

  • Emergency Medicine Physician
  • Lakeland, FL
  • NPI 1063461960
  NPD (past)
• Qed Medical Solutions, LLC

  • Emergency Medicine Physician
  • Port Charlotte, FL
  • NPI 1194880369
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205843489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1115",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "24592",
            "telephone_number": "434-517-3515",
            "fax_number": "434-572-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 WILBORN AVE",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "24592",
            "telephone_number": "434-517-3832",
            "fax_number": "434-517-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DAN",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0102201639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "462324",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCARE",
            "identifier": "P00301678",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie A Watts, LPC
• Karen Michelle Weddle, LPC
• Anthony Wilkerson, NP
• William D. Owen, Jr.,DDS & Debra G. Claycomb,DDS, PLLC
• Dale Francisco Williams, D.C.
• Norman L Williams, D.D.S.
• Joyce A. Willis, LCSW
• Joan Wilson, MD
• James F Witko, MD, FCCP
• Women's Health Center PC

• Emergency Medicine Physician in South Boston, VA
• Providers in South Boston, VA by specialty
• Emergency Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.