Active NPI
John M Williams Sr., MD, MPH
- Occupational Medicine Physician
- Colorado Springs, CO
National Provider Identifier
1548294069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 26446
- Practice address
- 1540 South 8TH Street PO Box 38958
Colorado Springs, CO 80937-8958 - Phone
- (719) 578-9749
- NPI assigned
- Jul 10, 2006
- Last updated
- Jun 10, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 26446 | CO | |
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 26446 | CO | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | 26446 | CO | |
| Occupational Medicine Physician | 2083X0100X | 26446 | CO | Primary |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 26446 | CO |
Addresses
Primary practice location
1540 South 8TH Street PO Box 38958
Colorado Springs, CO 80937-8958
Mailing address
1540 South 8TH Street
PO Box 38958
Colorado Springs, CO 80937-8958
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31740900 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26446 | CO | MD | Retina Specialist (Ophthalmology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1548294069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 SOUTH 8TH STREET",
"address_2": "PO BOX 38958",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809378958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 SOUTH 8TH STREET PO BOX 38958",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809378958",
"telephone_number": "719-578-9749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JOHN",
"middle_name": "M",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "MD, MPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CO",
"license": "26446",
"primary": false
},
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "CO",
"license": "26446",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "CO",
"license": "26446",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "CO",
"license": "26446",
"primary": true
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "CO",
"license": "26446",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31740900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.