Carl N Williams Jr MD CHTD

Primary specialty

Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X

Legal business name

CARL N WILLIAMS JR MD CHTD

Practice address

2020 Wellness Way Ste 501
Las Vegas, NV 89106-4145

Phone

(702) 259-3223

Fax

(702) 259-0101

NPI assigned

May 22, 2008

Last updated

Sep 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carl N Williams, MDNPI 1194734244

Title

President

Phone

(702) 259-3223

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NV2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16824/brand/1/csg/1/fhir/r4

Practitioners 4

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.

• Carl N Williams Jr., M.D.

  • Surgery of the Hand (Plastic Surgery) Physician
  • Las Vegas, NV
  • NPI 1194734244
  Medicare reassignment Care Compare group NPD Authorized official
• Emmelyn Pineda Rivas

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1811596760
  Medicare reassignment Care Compare group NPD
• Nicole Marie Duda

  • Registered Nurse
  • Las Vegas, NV
  • NPI 1841733698
  NPD
• Kathleen Scott, APRN

  • Nurse Practitioner
  • Henderson, NV
  • NPI 1982193272
  NPD (past)

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1437317765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 WELLNESS WAY STE 501",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064145",
            "telephone_number": "702-480-8059",
            "fax_number": "702-259-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 WELLNESS WAY STE 501",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064145",
            "telephone_number": "702-259-3223",
            "fax_number": "702-259-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL N WILLIAMS JR MD CHTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-259-3223",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Kassandra Carissimi, MSN, PMHNP-BC
• Hailey Caristi
• Victoria Caristo
• Brooklynn Carithers
• Carl Demardrian Virgil MD PC Mountain Anesthesia Counsultants (Mountain Anesthesia COnsultants)
• Kirsten Carl
• Carla Blair Wellness LLC
• Carla Cordova DMD MSD LLC (Thunderbird Dental)
• Carla Lalande DMD MSD PC (Children's Dental Care and Orthodontics)
• Marilyn Carle

• Surgery of the Hand (Surgery) Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Surgery of the Hand (Surgery) Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.