NPIMap

Individual provider Active NPI

Jeffrey S Williams, D.O.

  • Plastic Surgery Physician
  • Durango, CO
National Provider Identifier
1407920952
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
CDRH.0055459 Issued in CO
Practice address
575 Rivergate LN Unit 205
Durango, CO 81301-7490
Phone
(970) 259-5990
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X CDRH.0055459 CO Primary

Addresses

Primary practice location

575 Rivergate LN Unit 205
Durango, CO 81301-7490

Mailing address

575 Rivergate LN Unit 205
Durango, CO 81301-7490
Phone (970) 259-5990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TX, AZ3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20151104000218 CO Practitioner - Plastic and Reconstructive SurgeryPractitioner - Maxillofacial Surgery 7315028255 Reassigns benefits to 1 organization
I20210708002933 TX Practitioner - Plastic and Reconstructive Surgery 7315028255 Reassigns benefits to 1 organization
I20240108003962 AZ Practitioner - Plastic and Reconstructive Surgery 7315028255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
HRMC, LLCGroup PAC ID 3072641265, 33 clinicians
Jeffrey S. Williams, DO, PCGroup PAC ID 2466762406, 4 clinicians

Practice addresses (Care Compare)

101 Civic Ctr LN
Lake Havasu City, AZ 86403-5607
Phone (928) 453-3761

575 Rivergate LN
Unit 205
Durango, CO 81301-7487

575 Rivergate LN
Unit 205
Durango, CO 81301-7490
Phone (970) 259-5990

Hospital & facility affiliations

  • Havasu Regional Medical Center Hospital, Lake Havasu City, AZ, CCN 030069
  • Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055
  • Animas Surgical Hospital, LLC Hospital, Durango, CO, CCN 060117
  • Mercy Regional Medical Center Hospital, Durango, CO, CCN 060013

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy18
Melanoma (skin cancer) excision79
Removal of tissue1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
CDRH.0055459COMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey S. Williams, DO, PC CurrentSince Aug 1, 2015 Accepting new patients
Comanche County Medical Center Company CurrentSince May 7, 2021 Accepting new patients
Comanche County Medical Center Company CurrentSince May 7, 2021 Accepting new patients
HRMC, LLC CurrentSince Jan 15, 2024 Accepting new patients
HRMC, LLC CurrentSince Jan 15, 2024 Accepting new patients
HRMC, LLC Past Accepting new patients
East Coast Wound Care P C Past Accepting new patients

Locations

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

1851 Mesquite Ave
Ste 210
Lk Havasu Cty, AZ 86403
Phone (928) 854-7540

575 Rivergate Ln
Unit 205
Durango, CO 81301
Phone (970) 259-5990

10201 Highway 16
Comanche, TX 76442
Phone (254) 879-4910

Interoperability endpoints

  • Direct secure messaging: jwilliams@directaddress.net
  • FHIR API: https://api.platform.athenahealth.com/19231/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jeffrey.williams.1@19231.direct.athenahealth.com
  • Direct secure messaging: williams.jeffrey.012.0060041@jsw.meditab.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1407920952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 RIVERGATE LN UNIT 205",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017490",
            "telephone_number": "970-259-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 RIVERGATE LN UNIT 205",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017490",
            "telephone_number": "970-259-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CO",
            "license": "CDRH.0055459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.