NPIMap

Individual provider Active NPI

Thomas St Clair Williams Sr., MD

  • Family Medicine Physician
  • Monroe, LA
National Provider Identifier
1467422048
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
022964 Issued in LA
Practice address
516 Lincoln Rd
Monroe, LA 71203-4252
Phone
(318) 343-6487
Fax
(318) 343-7884
NPI assigned
Jan 25, 2006
Last updated
Dec 14, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD022964 LA
Family Medicine Physician 207Q00000X 022964 LA Primary

Addresses

Primary practice location

516 Lincoln Rd
Monroe, LA 71203-4252

Mailing address

PO Box 13430
Monroe, LA 71213-3430
Phone (318) 343-6487

Other identifiers 1

IdentifierTypeStateIssuer
1685895MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090923000281 LA Practitioner - Family Practice 8426104084 Reassigns benefits to 3 organizations
Practice locations: Oak Grove, LA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Carroll Health Systems, LLCGroup PAC ID 5294627774, shared by 8 NPIs, 21 clinicians

Practice addresses (Care Compare)

706 Ross St
Oak Grove, LA 71263-9798
Phone (318) 428-3237

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD022964LAMDEmergency Medicine Physician
022964LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Carroll Health Systems LLC Current Accepting new patients
West Carroll Health Systems LLC CurrentSince Sep 1, 2018 Accepting new patients
West Carroll Health Systems LLC Emergency Medicine CurrentSince Sep 1, 2018 Accepting new patients
West Carroll Care Center Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
West Carroll Health Systems LLC Past Accepting new patients

Locations

502 Ross St
Oak Grove, LA 71263
Phone (318) 428-2358

706 Ross St
Oak Grove, LA 71263
Phone (318) 428-3237

Interoperability endpoints

  • Direct secure messaging: twilliams@wchs.securechart.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260748800000",
    "number": "1467422048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13430",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712133430",
            "telephone_number": "318-343-6487",
            "fax_number": "318-343-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 LINCOLN RD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712034252",
            "telephone_number": "318-343-6487",
            "fax_number": "318-343-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "THOMAS",
        "middle_name": "ST CLAIR",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2009-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "MD022964",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "022964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1685895",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.