Clyde H Williams III, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

21615 Issued in CO

Practice address

2222 N Nevada Ave
Suite 4004
Colorado Springs, CO 80907-6832

Phone

(719) 471-7064

Fax

(719) 776-5459

NPI assigned

Dec 6, 2006

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1548329634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 N NEVADA AVE",
            "address_2": "SUITE 4004",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076832",
            "telephone_number": "719-471-7064",
            "fax_number": "719-776-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 N NEVADA AVE",
            "address_2": "SUITE 4004",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076832",
            "telephone_number": "719-471-7064",
            "fax_number": "719-776-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CLYDE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CO",
            "license": "21615",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CO",
            "license": "21615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "290000688",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01216159",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethany Williams
• Brejana Laree Williams, LMT
• Brianne Eve Williams, BCBA
• Casey Williams
• Christopher Steven Williams, D.O.
• Courtney Williams
• Dana J Williams, MA, LMFT
• Daniel Williams
• Danielle J Williams
• Danny Curtis Williams, DC

• Pulmonary Disease Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Pulmonary Disease Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.