Individual provider Active NPI

Edward J Williams, MD

  • Emergency Medicine Physician
  • Dover, NH
National Provider Identifier
1265442511
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
9848 Issued in NH
Practice address
789 Central Ave
Dover, NH 03820-2526
Phone
(603) 740-2163
Fax
(603) 740-2246
NPI assigned
Aug 9, 2006
Last updated
Jun 7, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 9848 NH Primary

Addresses

Primary practice location

789 Central Ave
Dover, NH 03820-2526

Mailing address

540 Lafayette Rd
Suite 8
Hampton, NH 03842-3344
Phone (603) 926-0088

Other identifiers 6

IdentifierTypeStateIssuer
G04017OtherNHHARVARD PILGRIM NH
0119415MedicaidMA
0106314T0NH01OtherNHBCBS THRU SEACOAST ER
930055338OtherNHRAILROAD THRU SEACOAST ER
30010456MedicaidNH
310930099MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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

Enrollment IDStateProvider typePAC IDDetails
I20051024000065 NH Practitioner - Emergency Medicine 9032188008 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Georgetown University School of Medicine, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Ocumed LLCGroup PAC ID 7719410018, 31 clinicians

Practice addresses (Care Compare)

65 Calef Hwy
Lee, NH 03861-6703
Phone (603) 868-8507

701 Central Ave
Dover, NH 03820-3403
Phone (603) 609-6700

789 Central Ave
Dover, NH 03820-2526
Phone (603) 742-5252

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.28 of 100Reported as individual
Quality
93.25
Improvement activities
0
Cost
79.74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9848NHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seacoast Emergency Physicians, PC CurrentSince Jan 1, 1998 Accepting new patients
Ocumed LLC Emergency Medicine CurrentSince Sep 2, 2024 Accepting new patients
Seacoast Emergency Physicians PC Emergency Medicine CurrentSince Jan 1, 1998 Accepting new patients

Locations

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

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

Hospital & facility affiliations 2

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1265442511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 LAFAYETTE RD",
            "address_2": "SUITE 8",
            "city": "HAMPTON",
            "state": "NH",
            "postal_code": "038423344",
            "telephone_number": "603-926-0088",
            "fax_number": "603-926-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202526",
            "telephone_number": "603-740-2163",
            "fax_number": "603-740-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "EDWARD",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NH",
            "license": "9848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM NH",
            "identifier": "G04017",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119415",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS THRU SEACOAST ER",
            "identifier": "0106314T0NH01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD THRU SEACOAST ER",
            "identifier": "930055338",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30010456",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310930099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

Verify at the official NPI Registry.