Active NPI
John Stewart Williams, MD
- Surgery Physician
- Wheat Ridge, CO
National Provider Identifier
1396775706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 20059
- Practice address
- 3455 Lutheran Pkwy
Ste 290
Wheat Ridge, CO 80033-6028 - Phone
- (303) 467-1467
- Fax
- (405) 948-6507
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 20059 | CO | Primary |
Addresses
Primary practice location
3455 Lutheran Pkwy
Ste 290
Wheat Ridge, CO 80033-6028
Mailing address
PO Box 3180
Denver, CO 80201-3180
Phone (800) 683-9930
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 68578849 | Medicaid | CO | |
| WI10317 | Other | CO | ANTHEM BCBS OF CO |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20059 | CO | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208476800000",
"number": "1396775706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3180",
"city": "DENVER",
"state": "CO",
"postal_code": "802013180",
"telephone_number": "800-683-9930",
"fax_number": "405-948-6507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3455 LUTHERAN PKWY",
"address_2": "STE 290",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336028",
"telephone_number": "303-467-1467",
"fax_number": "405-948-6507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JOHN",
"middle_name": "STEWART",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2008-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CO",
"license": "20059",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "68578849",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS OF CO",
"identifier": "WI10317",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.