Roger Michael Williams, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA 9103481 Issued in FL

Practice address

1009 W Baker St
Plant City, FL 33563-4431

Phone

(813) 759-1232

NPI assigned

Mar 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457476889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11815 GLEN WESSEX CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336263351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 W BAKER ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335634431",
            "telephone_number": "813-759-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ROGER",
        "middle_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA 9103481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandra Robinson Williams, M.D.
• Clifford L Williams
• Jonathan Williams, BCBA
• Kivia Lashawnette Williams, CNA,
• Merissa Renee Williams
• Timothy B Williams, D.O.
• Crystal Danielle Willis, PHARMD
• Francella Willis
• Lynn Windham
• Kenneth Winter

• Medical Physician Assistant in Plant City, FL
• Providers in Plant City, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.