Organization Active NPI

Robert L Williams, D.O.,P.C.

Doing business as Robert L Williams, D.O.

  • General Practice Physician
  • Independence, MO
National Provider Identifier
1427247808
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
R9506 Issued in MO
Legal business name
ROBERT L WILLIAMS, D.O.,P.C.
Doing business as
Robert L Williams, D.O.
Practice address
4419 S Crysler Ave
Independence, MO 64055-5948
Phone
(816) 356-1004
Fax
(816) 743-0775
NPI assigned
Oct 22, 2007
Last updated
Oct 22, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Dr. Robert Leroy Williams, D.O.
Title
Physican
Phone
(816) 356-1004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X R9506 MO Primary

Addresses

Primary practice location

4419 S Crysler Ave
Independence, MO 64055-5948

Mailing address

4419 S Crysler Ave
Independence, MO 64055-5948
Phone (816) 356-1004

Other identifiers 3

IdentifierTypeStateIssuer
08085013OtherMOBLUE CARE
0108272OtherMOUNITED HEALTH CARE
01987019OtherMOBLUE SHIELD

Other names 1

  • ROBERT L WILLIAMS, D.O. Doing business as

National Provider Directory

National Provider Directory

Locations

4419 S Crysler Ave
Independence, MO 64055
Phone (816) 356-0400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1427247808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 S CRYSLER AVE",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555948",
            "telephone_number": "816-356-1004",
            "fax_number": "816-743-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4419 S CRYSLER AVE",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555948",
            "telephone_number": "816-356-1004",
            "fax_number": "816-743-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L WILLIAMS, D.O.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "PHYSICAN",
        "authorized_official_telephone_number": "816-356-1004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "R9506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE",
            "identifier": "08085013",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0108272",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "01987019",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROBERT L WILLIAMS, D.O.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.