Williams Clinic, LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

R9968 Issued in MO

Legal business name

WILLIAMS CLINIC, LTD

Practice address

3409 Union Blvd
Saint Louis, MO 63115-1127

Phone

(314) 261-4834

Fax

(314) 383-3970

NPI assigned

Oct 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Roy Jerome Williams Jr., M.D.

Title

Physician

Phone

(314) 261-4834

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315699200000",
    "number": "1376722108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 UNION BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631151127",
            "telephone_number": "314-261-4834",
            "fax_number": "314-383-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 UNION BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631151127",
            "telephone_number": "314-261-4834",
            "fax_number": "314-383-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS CLINIC, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2011-09-11",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "314-261-4834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R9968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201722501",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William L Herbold Optometrists, Inc
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• William M Gee, MD, PC
• William R Reilly Inc
• William'S Home
• Williams Consumers Directive Services LLC
• Williams Consumers Directive, LLC
• Emily A Williams Hartman, M.A., L.P.C.
• Williams Pharmacy Inc
• Iketia Williams-Patton, LPC

• Internal Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.