Active NPI
Steven Shane Williams, PAC
- Physician Assistant
- Salem, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110002684
- Practice address
- 1802 Braeburn Dr
Salem, VA 24153-7357 - Phone
- (540) 772-3530
- Fax
- (540) 776-2036
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110002684 | VA | Primary |
Addresses
Primary practice location
1802 Braeburn Dr
Salem, VA 24153-7357
Mailing address
1802 Braeburn Dr
Salem, VA 24153-7357
Phone (540) 772-3530
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285677740 | Medicaid | VA | |
| P00449576 | Other | VA | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Arh Lane
Suite 103
Low Moor, VA 24457-0007
Phone (540) 969-9293
101 Knotbreak Rd
Salem, VA 24153-5404
Phone (540) 444-4020
1802 Braeburn Dr
Salem, VA 24153-7357
1900 Electric Rd
Salem, VA 24153-7474
Hospital & facility affiliations
- Lewisgale Medical Center
- Lewisgale Hospital Alleghany
- Carilion Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.67 of 100
- Quality
- 66.8
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- steven.williams@hca6.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Salem, VA
- NPI 1902977705
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Roanoke, VA
- NPI 1033102942
-
- Psychiatric Hospital Unit
- Low Moor, VA
- NPI 1285932962
-
- General Acute Care Hospital
- Low Moor, VA
- NPI 1538100029
-
- General Acute Care Hospital
- Salem, VA
- NPI 1619914785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208304000000",
"number": "1285677740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 BRAEBURN DR",
"city": "SALEM",
"state": "VA",
"postal_code": "241537357",
"telephone_number": "540-772-3530",
"fax_number": "540-776-2036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1802 BRAEBURN DR",
"city": "SALEM",
"state": "VA",
"postal_code": "241537357",
"telephone_number": "540-772-3530",
"fax_number": "540-776-2036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "STEVEN",
"middle_name": "SHANE",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2008-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110002684",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1285677740",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00449576",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.