Individual provider Active NPI

Jeremy Z Williams, MD

  • Plastic and Reconstructive Surgery Physician
  • Lone Tree, CO
National Provider Identifier
1518035575
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
43181 Issued in CO
Practice address
7430 Park Meadows Dr
Suite 300
Lone Tree, CO 80124-2559
Phone
(303) 706-1100
Fax
(303) 790-7322
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 43181 CO Primary

Addresses

Primary practice location

7430 Park Meadows Dr
Suite 300
Lone Tree, CO 80124-2559

Mailing address

7430 Park Meadows Dr
Suite 300
Lone Tree, CO 80124-2559
Phone (303) 706-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050929000538 CO Practitioner - Plastic and Reconstructive Surgery 6103851035 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Texas Medical School at Houston, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Park Meadows Cosmetic Surgery, PCGroup PAC ID 7618048349, 2 clinicians

Practice addresses (Care Compare)

7430 Park Meadows Dr
Suite 300
Lone Tree, CO 80124-2545
Phone (303) 706-1100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43181COMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Park Meadows Outpatient Surgery, LLC CurrentSince Jul 14, 2021 Accepting new patients

Locations

7430 Park Meadows Dr
Ste 300
Lone Tree, CO 80124
Phone (303) 706-1100

Organizations & group practices 2

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1518035575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7430 PARK MEADOWS DR",
            "address_2": "SUITE 300",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801242559",
            "telephone_number": "303-706-1100",
            "fax_number": "303-790-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 PARK MEADOWS DR",
            "address_2": "SUITE 300",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801242559",
            "telephone_number": "303-706-1100",
            "fax_number": "303-790-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JEREMY",
        "middle_name": "Z",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CO",
            "license": "43181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

Verify at the official NPI Registry.