Lynda K Williamson, D.O.
Individual provider Active NPI Family Medicine Physician · Anchorage, AK
NPI 1306033410 · NPPES record last updated Sep 19, 2024
Key facts
- NPI
- 1306033410
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 222262 (AK)
- Practice address
- 910 Compassion Cir
Anchorage, AK 99504-1645 - Phone
- (907) 212-9200
- Fax
- (907) 212-9279
- NPI assigned
- Oct 2, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Public Hospital District 3 of Pacific County
Practice addresses (Care Compare)
167 1St Ave N
Ilwaco, WA 98624-9137
Phone (360) 642-6498
174 1St Ave N
Ilwaco, WA 98624-9137
Phone (360) 642-3181
176 1St Ave N
Ilwaco, WA 98624-9137
Phone (360) 642-3747
PO Box H
Ilwaco, WA 98624
Hospital & facility affiliations
- Ocean Beach Hospital
- Columbia Memorial Hospital
- Providence Seaside Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031223000412 | WA | Practitioner - Family Practice | 9032017397 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP00001596 | WA | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health of Central Washington | Family Medicine | Current |
Accepting new patients |
| Public Hospital District 3 of Pacific County | Current |
Accepting new patients | |
| Community Health of Central Washington | Current |
Accepting new patients | |
| Public Hospital District 3 of Pacific County | Current |
Accepting new patients | |
| Centennial SNF Healthcare LLC | Past | Accepting new patients | |
| A Center for Health and Wellness P | Family Medicine | Past |
Accepting new patients |
| Providence Health & Services Washington | Past | Accepting new patients | |
| Public Hospital District 3 of Pacific County | Past | Accepting new patients | |
| Care Center Anchorage Inc. | Past | Accepting new patients |
Locations
101 W 8th Ave
Ste 100
Spokane, WA 99204
Phone (509) 474-2880
1806 W Lincoln Ave
Yakima, WA 98902
Phone (509) 452-4520
501 S 5th Ave
Yakima, WA 98902
Phone (509) 494-6700
402 S 12th Ave
Yakima, WA 98902
Phone (509) 248-3263
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OP00001596 | WA | |
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | OP00001596 | WA | |
| Family Medicine Physician | 207Q00000X | 222262 | AK | Yes |
| Pain Medicine Physician | 208VP0000X | OP00001596 | WA |
Addresses
Primary practice location
910 Compassion Cir
Anchorage, AK 99504-1645
Mailing address
3154 E 29TH Ave Ste D
Spokane, WA 99223-4852
Phone (509) 998-3555
Other practice location 1
3154 E 29th Ave Ste D
Spokane, WA 99223-4852
Phone (509) 998-3555
Other practice location 2
920 Compassion Cir
Anchorage, AK 99504-1645
Phone (907) 212-9200
Other practice location 3
9100 Centennial Cir
Anchorage, AK 99504-1480
Phone (907) 333-8100
Other practice location 4
3020 S Union Ave
Tacoma, WA 98409-3317
Phone (253) 844-4327
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0181497 | Other | WA | L & I |
Other providers in Anchorage, AK
- Tenisha Jametta Williams
- Teresa Williams
- Tineka Marie Williams
- Heather Williamson
- Lisa Jo Williamson
- Paul Alan Williamson
- Remi Cristen Williamson
- Stacie Ann Williamson
- Troya Williamson
- Alison Willis
All providers in Anchorage, AK · Family Medicine Physician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.