Organization Active NPI

Phillip a Williams MD, PC

  • Obstetrics & Gynecology Physician
  • Flagstaff, AZ
National Provider Identifier
1316048838
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25398 Issued in AZ
Legal business name
PHILLIP A WILLIAMS MD, PC
Practice address
1100 N San Francisco St
Suite B
Flagstaff, AZ 86001-3260
Phone
(928) 779-7853
Fax
(928) 774-0508
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Phillip A Williams, MD
Title
Physician
Phone
(928) 779-7853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 25398 AZ Primary

Addresses

Primary practice location

1100 N San Francisco St
Suite B
Flagstaff, AZ 86001-3260

Mailing address

1100 N San Francisco St
Suite B
Flagstaff, AZ 86001-3260
Phone (928) 779-7853

Other identifiers 1

IdentifierTypeStateIssuer
386062MedicaidAZ

Other names 1

  • Phillip A Williams MD Doing business as

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316048838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N SAN FRANCISCO ST",
            "address_2": "SUITE B",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013260",
            "telephone_number": "928-779-7853",
            "fax_number": "928-774-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N SAN FRANCISCO ST",
            "address_2": "SUITE B",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013260",
            "telephone_number": "928-779-7853",
            "fax_number": "928-774-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP A WILLIAMS MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "928-779-7853",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "25398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "386062",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phillip A Williams MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.