Active NPI
Jeffrey S. Williams, DO, PC
- Plastic and Reconstructive Surgery Physician
- Durango, CO
National Provider Identifier
1225400674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- DR.0055459
- Legal business name
- JEFFREY S. WILLIAMS, DO, PC
- Practice address
- 575 Rivergate
Suite 205
Durango, CO 81301-7487 - Phone
- (970) 259-5990
- Fax
- (970) 259-5934
- NPI assigned
- Oct 26, 2015
- Last updated
- Nov 11, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Williams, D.O.
- Title
- Owner
- Phone
- (972) 746-7471
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | DR.0055459 | CO | Primary |
Addresses
Primary practice location
575 Rivergate
Suite 205
Durango, CO 81301-7487
Mailing address
575 Rivergate
Suite 205
Durango, CO 81301-7487
Phone (970) 259-5990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Plastic Surgery Physician
- Durango, CO
- NPI 1407920952
-
- Surgery of the Hand (Plastic Surgery) Physician
- Durango, CO
- NPI 1760623417
-
- Surgical Physician Assistant
- Durango, CO
- NPI 1952042434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1447200000000",
"number": "1225400674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 RIVERGATE",
"address_2": "SUITE 205",
"city": "DURANGO",
"state": "CO",
"postal_code": "813017487",
"telephone_number": "970-259-5990",
"fax_number": "970-259-5934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 RIVERGATE",
"address_2": "SUITE 205",
"city": "DURANGO",
"state": "CO",
"postal_code": "813017487",
"telephone_number": "970-259-5990",
"fax_number": "970-259-5934"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY S. WILLIAMS, DO, PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-26",
"last_updated": "2015-11-11",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "972-746-7471",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "CO",
"license": "DR.0055459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.