Samuel Williams, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0110001619 Issued in VA

Practice address

301 Riverview Avenue
Suite 500
Norfolk, VA 23510-1064

Phone

(757) 624-1785

Fax

(757) 624-1759

NPI assigned

Aug 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Fort Norfolk Plaza Medical Associates, LLC

  • Cardiovascular Disease Physician
  • Norfolk, VA
  • NPI 1699001081
  Medicare reassignment
• Fort Norfolk Plaza Medical Associates, LLC

  • Family Medicine Physician
  • Norfolk, VA
  • NPI 1316274145
  NPD
• Cardiology & Arrhythmia Consultants,Inc.

  • Cardiovascular Disease Physician
  • Norfolk, VA
  • NPI 1225047608
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1316956287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 RIVERVIEW AVENUE",
            "address_2": "SUITE 500",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101064",
            "telephone_number": "757-624-1785",
            "fax_number": "757-624-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 RIVERVIEW AVENUE",
            "address_2": "SUITE 500",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101064",
            "telephone_number": "757-624-1785",
            "fax_number": "757-624-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SAMUEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110001619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PTAN",
            "identifier": "VAA103569",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Osanne Williams, MA, CT, LPC
• Patrick Everton Williams, MD
• Paulette Linnell Williams
• Roderic Williams, LPC
• Ryan Patrick Williams, MD
• Scott S Williams, MD
• Shante Lenise Williams, LPC
• Star Williams
• Takeshia Vernice Williams, PH.D.
• Sarah Holzman Williamson, MD

• Medical Physician Assistant in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.