Individual provider Active NPI

James S. Williams, MD

  • Emergency Medicine Physician
  • Big Lake, TX
National Provider Identifier
1447353750
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
38641 Issued in WI
Practice address
800 N Main Ave
Big Lake, TX 76932-3900
Phone
(325) 481-2183
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 38641 WI
Family Medicine Physician 207Q00000X P0517 TX
Emergency Medicine Physician 207P00000X 38641 WI Primary

Addresses

Primary practice location

800 N Main Ave
Big Lake, TX 76932-3900

Mailing address

122 E College Ave
Appleton, WI 54911-5741
Phone (920) 996-3264

Other identifiers 1

IdentifierTypeStateIssuer
8CX167OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050210000775 WI Practitioner - Emergency MedicinePractitioner - Family Practice 7416909155 Reassigns benefits to 1 organization
I20111021000081 TX Practitioner - Family Practice 7416909155 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38641WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Medical College of Wisconsin, Inc. Emergency Medicine Current Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Mar 20, 2022 Accepting new patients
Oleander Emergency Medicine Associates PA Emergency Medicine CurrentSince Feb 6, 2018 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Jan 15, 2018 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Mar 20, 2022 Accepting new patients
Reagan Hospital District Past Accepting new patients
Reagan Hospital District Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

2500 E Main St
Alice, TX 78332
Phone (361) 664-4376

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

708 S 1st St
Muleshoe, TX 79347
Phone (806) 272-4524

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

2701 Hospital Dr
Victoria, TX 77901
Phone (361) 573-9180

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

N74W12501 Leatherwood Ct
Menomonee Falls, WI 53051
Phone (414) 454-4744

1405 Mill St
New London, WI 54961
Phone (920) 531-2000

9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1447353750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E COLLEGE AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115741",
            "telephone_number": "920-996-3264",
            "fax_number": "920-830-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N MAIN AVE",
            "city": "BIG LAKE",
            "state": "TX",
            "postal_code": "769323900",
            "telephone_number": "325-481-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JAMES",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "38641",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P0517",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "38641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CX167",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Lake, TX

Sources for this page

Verify at the official NPI Registry.