Jason D Williams, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA03507 Issued in TX

Practice address

409 Central Park Dr
Arlington, TX 76014-2069

Phone

(817) 261-9191

Fax

(817) 784-6880

NPI assigned

Aug 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, MA2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

May accept Medicare assignment

Group practices

Sinus and Allergy Specialists of TexasGroup PAC ID 7315169596, 41 clinicians

Green Oaks Physical Therapy Limited PartnershipGroup PAC ID 4688582141, shared by 2 NPIs, 208 clinicians

Practice addresses (Care Compare)

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.

• Sinus & Allergy Specialists of Texas

  • Allergy & Immunology Physician
  • Austin, TX
  • NPI 1639510803
  Medicare reassignment Care Compare group
• Central Park Ear Nose and Throat LLP

  • Otolaryngology Physician
  • Arlington, TX
  • NPI 1033264635
  Medicare reassignment NPD
• Ear, Nose & Throat Associates of Worcester, Inc.

  • Otolaryngology Physician
  • Charlton, MA
  • NPI 1285620609
  Medicare reassignment
• Central Park Ear Nose and Throat, LLP Fort Worth

  • Otolaryngology Physician
  • Arlington, TX
  • NPI 1528496734
  NPD
• Charlton Family Practice

  • Family Medicine Physician
  • Charlton, MA
  • NPI 1447321385
  NPD (past)

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1366434516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 CENTRAL PARK DR. ARLINGTON, TX 76014",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76014",
            "telephone_number": "817-261-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 CENTRAL PARK DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760142069",
            "telephone_number": "817-261-9191",
            "fax_number": "817-784-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JASON",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "PA03507",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawnita Carol Williams, LMSW
• Demeka Danielle Williams
• Douglas Wade Williams
• Ethel M. Williams, LPC
• Heather Williams
• Jawaad Ali Williams
• Julie Andria Williams, M.A. NCC ADS LPC-S
• Kalor Williams II, LCSW
• Klasshey Williams, PTA
• Kymberli Shanta Williams, PHARM.D

• Physician Assistant in Arlington, TX
• Providers in Arlington, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.