Active NPI
Harold S Williams, MD
- Family Medicine Physician
- North Miami Beach, FL
National Provider Identifier
1427138148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME30919
- Practice address
- 100 NW 170 Street
Suite 405
North Miami Beach, FL 33169 - Phone
- (305) 652-6466
- Fax
- (305) 652-3104
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME30919 | FL | Primary |
Addresses
Primary practice location
100 NW 170 Street
Suite 405
North Miami Beach, FL 33169
Mailing address
100 NW 170 Street
Suite 405
North Miami Beach, FL 33169
Phone (305) 652-6466
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0859025 | Other | FL | AETNA HMO |
| 4068035 | Other | FL | AETNA |
| 000562 | Other | FL | NHP |
| 059789900 | Medicaid | FL | |
| 95180 | Other | FL | BLUE CROSS BLUE SHIELD |
| 000712 | Other | FL | AVMED |
| 9270245 | Other | FL | CIGNA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211500800000",
"number": "1427138148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 NW 170 STREET",
"address_2": "SUITE 405",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "33169",
"telephone_number": "305-652-6466",
"fax_number": "605-652-3104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NW 170 STREET",
"address_2": "SUITE 405",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "33169",
"telephone_number": "305-652-6466",
"fax_number": "305-652-3104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "HAROLD",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2008-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME30919",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "0859025",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4068035",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "000562",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "059789900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "95180",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "000712",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9270245",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.