Active NPI
Lloyd David Williams, DPM
- Podiatrist
- El Paso, TX
National Provider Identifier
1245203322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 0875
- Practice address
- 4659 Cohen Ave
Ste a
El Paso, TX 79924-4429 - Phone
- (915) 751-0000
- Fax
- (915) 751-0464
- NPI assigned
- Feb 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0875 | TX | Primary |
| Radiology Podiatrist | 213ER0200X | 0875 | TX | |
| Foot Surgery Podiatrist | 213ES0131X | 0875 | TX |
Addresses
Primary practice location
4659 Cohen Ave
Ste a
El Paso, TX 79924-4429
Mailing address
4659 Cohen Ave
Ste a
El Paso, TX 79924-4429
Phone (915) 751-0000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018639702 | Medicaid | TX |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0875 | TX | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ep Foot Care, PA | Podiatrist | Current | Accepting new patients |
| Cohen Ave Surgery Center, LLC | Past | Accepting new patients |
Locations
8815 Dyer St
Ste 348
El Paso, TX 79904
Phone (915) 532-3721
4659 Cohen Ave
Unit A
El Paso, TX 79924
Phone (915) 217-1140
Organizations & group practices 2
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.
-
- Podiatrist
- El Paso, TX
- NPI 1477526457
-
- Ambulatory Surgical Clinic/Center
- El Paso, TX
- NPI 1205026069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384819200000",
"number": "1245203322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4659 COHEN AVE",
"address_2": "STE A",
"city": "EL PASO",
"state": "TX",
"postal_code": "799244429",
"telephone_number": "915-751-0000",
"fax_number": "915-751-0464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4659 COHEN AVE",
"address_2": "STE A",
"city": "EL PASO",
"state": "TX",
"postal_code": "799244429",
"telephone_number": "915-751-0000",
"fax_number": "915-751-0464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "LLOYD",
"middle_name": "DAVID",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2013-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TX",
"license": "0875",
"primary": true
},
{
"code": "213ER0200X",
"taxonomy_group": "",
"desc": "Podiatrist, Radiology",
"state": "TX",
"license": "0875",
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "TX",
"license": "0875",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "018639702",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.