Individual provider Active NPI

John P Williams, DO

  • Cytopathology Physician
  • Gulfport, FL
National Provider Identifier
1598744393
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cytopathology PhysicianTaxonomy code 207ZC0500X
License
OS4755 Issued in FL
Practice address
2821 Seabreeze Dr S
Gulfport, FL 33707-3931
Phone
(727) 667-2074
Fax
(727) 343-4716
NPI assigned
Jan 11, 2006
Last updated
Feb 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X OS4755 FL Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X OS4755 FL

Addresses

Primary practice location

2821 Seabreeze Dr S
Gulfport, FL 33707-3931

Mailing address

2821 Seabreeze Dr S
Gulfport, FL 33707-3931
Phone (727) 667-2074

Other practice location 1

1046 Cypress Village Blvd
Sun City Center, FL 33573-6845
Phone (813) 633-0081

Other identifiers 1

IdentifierTypeStateIssuer
274114800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20051003000524 FL Practitioner - Pathology 8820056369 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Central Gastroenterology LLPGroup PAC ID 0648322362, 82 clinicians
Surgical Pathology Laboratories PAGroup PAC ID 4385785880, 9 clinicians

Practice addresses (Care Compare)

3901 66 St N
Suite 201
St Petersburg, FL 33709-4949
Phone (727) 345-5500

8455 66TH St N
Pinellas Park, FL 33781-1206
Phone (727) 545-0109

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS4755FLMDCytopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ameripath Hospital Services-Florida LLC Anatomic Pathology & Clinical Pathology CurrentSince Sep 17, 2005 Accepting new patients
West Central Gastroenterology LLP Cytopathology CurrentSince Sep 1, 2011 Accepting new patients
Surgical Pathology Laboratories PA CurrentSince Mar 1, 2016 Accepting new patients
Trustees of Mease Hospital Inc CurrentSince Apr 1, 2020 Accepting new patients
Mark a Nagrani MD PA CurrentSince Apr 8, 2024 Accepting new patients
Ameripath Hospital Services-Florida LLC Anatomic Pathology & Clinical Pathology CurrentSince Sep 17, 2005 Accepting new patients
Absolute Surgical Specialists, PLLC CurrentSince Feb 24, 2020 Accepting new patients
Richard Degregorio MD P a Current Accepting new patients
Advanced Gastroenterology Associates LLC CurrentSince Apr 1, 2020 Accepting new patients
Ameripath Florida LLC Past Accepting new patients
Reston Pathology Associates, P.L.L.C. Anatomic Pathology & Clinical Pathology Past Accepting new patients
Pathology Associates of Silver Spring, LLC Anatomic Pathology & Clinical Pathology Past Accepting new patients
Ameripath Florida LLC Past Accepting new patients

Locations

2410 Northside Dr
Clearwater, FL 33761
Phone (727) 499-0358

3001 Executive Dr
Ste 130
Clearwater, FL 33762
Phone (727) 329-3371

1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761

612 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 423-5500

34041 US Highway 19 N
Ste A
Palm Harbor, FL 34684
Phone (727) 771-8770

6225 66th St N
Pinellas Park, FL 33781
Phone (727) 521-0994

8455 66th St N
Pinellas Park, FL 33781
Phone (727) 545-0109

1701 SE Hillmoor Dr
Ste C11
Port St Lucie, FL 34952
Phone (772) 335-0626

1501 Pasadena Ave S
South Pasadena, FL 33707
Phone (727) 341-7777

3901 66th St N
Ste 201
St Petersburg, FL 33709
Phone (727) 345-5500

3901 66th St N
Ste 202
St Petersburg, FL 33709
Phone (727) 345-8519

1046 Cypress Village Blvd
Sun City Ctr, FL 33573
Phone (813) 633-0081

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1598744393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 SEABREEZE DR S",
            "city": "GULFPORT",
            "state": "FL",
            "postal_code": "337073931",
            "telephone_number": "727-667-2074",
            "fax_number": "727-343-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 SEABREEZE DR S",
            "city": "GULFPORT",
            "state": "FL",
            "postal_code": "337073931",
            "telephone_number": "727-667-2074",
            "fax_number": "727-343-4716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1046 Cypress Village Blvd",
            "address_purpose": "LOCATION",
            "city": "Sun City Center",
            "state": "FL",
            "postal_code": "335736845",
            "country_code": "US",
            "telephone_number": "813-633-0081",
            "fax_number": "813-633-0082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "FL",
            "license": "OS4755",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "OS4755",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274114800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, FL

Sources for this page

Verify at the official NPI Registry.