Active NPI
Jessica Williams, PA
- Physician Assistant
- Canton, OH
National Provider Identifier
1437166980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-00249
- Practice address
- 4535 Dressler Rd NW
Canton, OH 44718-2545 - Phone
- (330) 493-4443
- Fax
- (330) 493-8677
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-00249 | NC | Primary |
Addresses
Primary practice location
4535 Dressler Rd NW
Canton, OH 44718-2545
Mailing address
4535 Dressler Rd NW
Canton, OH 44718-2545
Phone (330) 493-4443
Other names 1
- Jessica Sikora
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-00249 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine Specialist, PA | Past | Accepting new patients | |
| Piedmont Emergency Medical Associates, PA | Past | Accepting new patients |
Interoperability endpoints
- jwilliams21378@carelonhealth.direct-ci.com
Organizations & group practices 3
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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Nashville, TN
- NPI 1124443403
IN
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1326079567
-
- Emergency Medicine Physician
- Charlotte, NC
- NPI 1801822523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261440000000",
"number": "1437166980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4535 DRESSLER RD NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447182545",
"telephone_number": "330-493-4443",
"fax_number": "330-493-8677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4535 DRESSLER RD NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447182545",
"telephone_number": "330-493-4443",
"fax_number": "330-493-8677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JESSICA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2009-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-00249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "SIKORA",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.