Organization Active NPI

John S Williams M D P a

  • Family Medicine Physician
  • Blytheville, AR
National Provider Identifier
1548241201
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C7343 Issued in AR
Legal business name
JOHN S WILLIAMS M D P A
Practice address
527 N 6TH St
Blytheville, AR 72315-2407
Phone
(870) 763-4541
NPI assigned
Nov 9, 2005
Last updated
Sep 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Authorized official

Name
Mrs. Julia Ann Yankee
Title
Office Manager
Phone
(870) 763-4541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C7343 AR Primary

Addresses

Primary practice location

527 N 6TH St
Blytheville, AR 72315-2407

Mailing address

527 N 6TH St
Blytheville, AR 72315-2407
Phone (870) 763-4541

National Provider Directory

National Provider Directory

Locations

527 N 6th St
Blytheville, AR 72315
Phone (870) 762-2297

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1548241201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 N 6TH ST",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723152407",
            "telephone_number": "870-763-4541",
            "fax_number": "870-762-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 N 6TH ST",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723152407",
            "telephone_number": "870-763-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN S WILLIAMS M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "YANKEE",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-763-4541",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C7343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blytheville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.