NPIMap

Individual provider Active NPI

William Edward Williams, D.O.

  • Family Medicine Physician
  • Clarksville, AR
National Provider Identifier
1487875522
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E5536 Issued in AR
Practice address
23 Professional Park Dr
Clarksville, AR 72830-4432
Phone
(479) 754-4721
Fax
(844) 584-4213
NPI assigned
May 2, 2007
Last updated
Oct 22, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E5536 AR Primary

Addresses

Primary practice location

23 Professional Park Dr
Clarksville, AR 72830-4432

Mailing address

107 Buffalo
Clarksville, AR 72830-6104
Phone (479) 754-4721

Other identifiers 1

IdentifierTypeStateIssuer
174874003MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20080731000633 AR Practitioner - Family PracticePractitioner - Emergency Medicine 7113091695 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Practice Associates of Clarksville,PAGroup PAC ID 8123927530, 3 clinicians

Practice addresses (Care Compare)

23 Professional Park Dr
Clarksville, AR 72830-4432
Phone (479) 754-4721

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.98 of 100Reported as group
Quality
89.02
Improvement activities
40
Cost
81.54

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy14
Upper gastrointestinal (GI) endoscopy for acid reflux15
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E5536ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Correct Care, Inc. CurrentSince Apr 1, 2010 Accepting new patients
Arkansas Emergency Staffing Solutions, Inc CurrentSince May 15, 2009 Accepting new patients
Family Practice Associates of Clarksville,PA Current Accepting new patients
Chicot Memorial Hospital Past Accepting new patients
McGehee Desha County Hospital Past Accepting new patients

Locations

451 W Locke St
Ashdown, AR 71822
Phone (870) 265-5351

23 Professional Park Dr
Clarksville, AR 72830
Phone (479) 754-4721

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

2729 S Highway 65 82
Lake Village, AR 71653
Phone (870) 265-5351

778 Scogin Dr
Monticello, AR 71655
Phone (870) 367-2411

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

Interoperability endpoints

  • Direct secure messaging: williams.william.001.0040015@fpac.meditab.direct-ci.com

Organizations & group practices 5

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 5

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445472000000",
    "number": "1487875522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 BUFFALO",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728306104",
            "telephone_number": "479-754-4721",
            "fax_number": "844-584-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 PROFESSIONAL PARK DR",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728304432",
            "telephone_number": "479-754-4721",
            "fax_number": "844-584-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "WILLIAM",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2015-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E5536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174874003",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, AR

Sources for this page

Verify at the official NPI Registry.