Individual provider Active NPI

Christopher Eric Williams, M.D.

  • Family Medicine Physician
  • Elko, NV
National Provider Identifier
1275524779
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25404 Issued in NV
Practice address
1993 Errecart Blvd
Elko, NV 89801-8334
Phone
(775) 753-1049
Fax
(775) 777-8494
NPI assigned
Nov 3, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12979A WY
Family Medicine Physician 207Q00000X 44394 CO
Family Medicine Physician 207Q00000X L0959 TX
Sports Medicine (Family Medicine) Physician 207QS0010X 44394 CO
Family Medicine Physician 207Q00000X 25404 NV Primary
Sports Medicine (Family Medicine) Physician 207QS0010X L0959 TX

Addresses

Primary practice location

1993 Errecart Blvd
Elko, NV 89801-8334

Mailing address

1993 Errecart Blvd
Elko, NV 89801-8334
Phone (775) 753-1049

Other practice location 1

1504 S River St
Saratoga, WY 82331-5213
Phone (307) 315-0158

Other practice location 2

345 Cleveland St
Meeker, CO 81641-3238
Phone (970) 878-4014

Other identifiers 3

IdentifierTypeStateIssuer
12979AOtherWYSTATE LICENSE
24377767MedicaidCO
25404OtherNVSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201030002138 WY Practitioner - Family Practice 3779586557 Reassigns benefits to 2 organizations
I20240812003470 NV Practitioner - Family PracticePractitioner - Sports Medicine 3779586557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
University of Texas Southwestern Medical School at Dallas, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1993 Errecart Blvd
Elko, NV 89801-8334
Phone (775) 748-4826

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
33.71 of 100Reported as group
Quality
39.66
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L0959TXMDFamily Medicine Physician
44394COMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of Nevada Medical Hinitt PC CurrentSince Jul 29, 2024 Accepting new patients
Memorial Hospital of Carbon County Family Medicine Current Accepting new patients
Memorial Hospital of Carbon County CurrentSince Oct 22, 2020 Accepting new patients
Memorial Hospital of Carbon County Current Accepting new patients
Premise Health of Nevada Medical Hinitt PC Family Medicine CurrentSince Jul 29, 2024 Accepting new patients
Memorial Hospital of Carbon County CurrentSince Oct 22, 2020 Accepting new patients
Premise Health of Nevada Medical Hinitt P C Family Medicine Current Accepting new patients
Chris Williams, M.D., P.a. Family Medicine Past Accepting new patients

Locations

16906 Collection Ctr Dr
Chicago, IL 60693

1993 Errecart Blvd
Elko, NV 89801
Phone (775) 748-4826

5500 Maryland Way
Ste 120
Brentwood, TN 37027

300 3rd St
Rawlins, WY 82301
Phone (307) 324-3403

2221 Elm St
Rawlins, WY 82301
Phone (307) 324-2221

Organizations & group practices 8

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 1

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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1275524779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1993 ERRECART BLVD",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898018334",
            "telephone_number": "775-753-1049",
            "fax_number": "775-777-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1993 ERRECART BLVD",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898018334",
            "telephone_number": "775-753-1049",
            "fax_number": "775-777-8494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1504 S River St",
            "address_purpose": "LOCATION",
            "city": "Saratoga",
            "state": "WY",
            "postal_code": "823315213",
            "country_code": "US",
            "telephone_number": "307-315-0158",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "345 Cleveland St",
            "address_purpose": "LOCATION",
            "city": "Meeker",
            "state": "CO",
            "postal_code": "816413238",
            "country_code": "US",
            "telephone_number": "970-878-4014",
            "fax_number": "970-878-0019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHRISTOPHER",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "12979A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "44394",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L0959",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CO",
            "license": "44394",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "25404",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "L0959",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "12979A",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24377767",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "25404",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elko, NV

Sources for this page

Verify at the official NPI Registry.