Active NPI
James Darnell Williams
- Private Vehicle
- Griffith, IN
National Provider Identifier
1336476662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- License
- 45244482202
- Practice address
- 401 N Colfax
Griffith, IN 46319-2851 - Phone
- (219) 513-8824
- NPI assigned
- Nov 6, 2009
- Last updated
- Nov 6, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | 45244482202 | IL | Primary |
Addresses
Primary practice location
401 N Colfax
Griffith, IN 46319-2851
Mailing address
401 N Colfax St
Griffith, IN 46319-2851
Phone (773) 444-7218
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45244482202 | IL | MD | Private Vehicle |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257465600000",
"number": "1336476662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 N COLFAX ST",
"city": "GRIFFITH",
"state": "IN",
"postal_code": "463192851",
"telephone_number": "773-444-7218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 N COLFAX",
"city": "GRIFFITH",
"state": "IN",
"postal_code": "463192851",
"telephone_number": "219-513-8824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JAMES",
"middle_name": "DARNELL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-06",
"last_updated": "2009-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "IL",
"license": "45244482202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Griffith, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.