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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- R9506
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08085013 | Other | MO | BLUE CARE |
| 0108272 | Other | MO | UNITED HEALTH CARE |
| 01987019 | Other | MO | BLUE SHIELD |
Other names 1
- ROBERT L WILLIAMS, D.O.
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Physician
- Independence, MO
- NPI 1477753069
-
- Family Medicine Physician
- Independence, MO
- NPI 1225033459
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.