Organization Active NPI

Leslie B. Williams MD PLC

  • Neurology Physician
  • Alexandria, VA
National Provider Identifier
1356623607
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0101038230 Issued in VA
Legal business name
LESLIE B. WILLIAMS MD PLC
Practice address
2616 Sherwood Hall Lane
Ste 407
Alexandria, VA 22306
Phone
(703) 799-2113
Fax
(703) 799-2118
NPI assigned
Sep 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Authorized official

Name
Leslie B. Williams, MD
Title
Physician/Owner
Phone
(703) 799-2113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 0101038230 VA Primary

Addresses

Primary practice location

2616 Sherwood Hall Lane
Ste 407
Alexandria, VA 22306

Mailing address

4660 Kenmore Ave
Ste 408
Alexandria, VA 22304
Phone (703) 751-3500

Other identifiers 1

IdentifierTypeStateIssuer
007112670MedicaidVA

National Provider Directory

National Provider Directory

Locations

8101 Hinson Farm Rd
Ste 111
Alexandria, VA 22306
Phone (703) 799-2113

NPI Registry JSON

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1356623607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE",
            "address_2": "STE 408",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22304",
            "telephone_number": "703-751-3500",
            "fax_number": "703-751-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 SHERWOOD HALL LANE",
            "address_2": "STE 407",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22306",
            "telephone_number": "703-799-2113",
            "fax_number": "703-799-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE B. WILLIAMS MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-13",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "703-799-2113",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101038230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007112670",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.