Roger T Williams, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

22260 Issued in AZ

Practice address

1500 S White Mountain Rd BLDG 3
Show Low, AZ 85901-7111

Phone

(284) 325-8389

NPI assigned

Dec 28, 2005

Last updated

Jun 19, 2024By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Roger Williams MD PC

  • Family Medicine Physician
  • Lakeside, AZ
  • NPI 1972783736
  NPD (past) Authorized official
• Changepoint Integrated Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Show Low, AZ
  • NPI 1689212508
  NPD
• White Mountain Emergency Physicians, PC

  • Emergency Medicine Physician
  • Show Low, AZ
  • NPI 1710964101
  NPD (past)

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1487631842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "OVERGAARD",
            "state": "AZ",
            "postal_code": "859330010",
            "telephone_number": "928-532-5838",
            "fax_number": "801-423-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S WHITE MOUNTAIN RD BLDG 3",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017111",
            "telephone_number": "284-325-8389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ROGER",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "22260",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "22260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173758",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William L Weiermann
• Casey D Williams
• Cheryl Williams
• Daniel Farrell Williams, DMD
• Robbin Williams, PHARMD
• Jaime Winder
• Mona Wolf, COTA/L
• Carolyn Hayes Wong, MD
• Brian Michael Wood, PA-C
• Douglas A Wright, DO

• General Practice Physician in Show Low, AZ
• Providers in Show Low, AZ by specialty
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.