Active NPI
John P Williams, DO
- Cytopathology Physician
- Gulfport, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cytopathology Physician
- License
- OS4755
- 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, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 274114800 | Medicaid | FL |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| OS4755 | FL | MD | Cytopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ameripath Hospital Services-Florida LLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| West Central Gastroenterology LLP | Cytopathology | Current | Accepting new patients |
| Surgical Pathology Laboratories PA | Current | Accepting new patients | |
| Trustees of Mease Hospital Inc | Current | Accepting new patients | |
| Mark a Nagrani MD PA | Current | Accepting new patients | |
| Ameripath Hospital Services-Florida LLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Absolute Surgical Specialists, PLLC | Current | Accepting new patients | |
| Richard Degregorio MD P a | Current | Accepting new patients | |
| Advanced Gastroenterology Associates LLC | Current | 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.
-
- Clinical Medical Laboratory
- Pinellas Park, FL
- NPI 1184698086
-
- Gastroenterology Physician
- Clearwater, FL
- NPI 1144454703
Cytopathology
-
- Gastroenterology Physician
- Palm Harbor, FL
- NPI 1619200482
-
- Anatomic Pathology & Clinical Pathology Physician
- Clermont, FL
- NPI 1124091509
-
- Specialist
- New Smyrna Beach, FL
- NPI 1326194713
-
- Colon & Rectal Surgery Physician
- Sun City Center, FL
- NPI 1548305782
-
- Anatomic Pathology & Clinical Pathology Physician
- Fort Myers, FL
- NPI 1518735208
-
- Specialist
- Pinellas Park, FL
- NPI 1609934850
-
dba Mease Countryside Hospital
- General Acute Care Hospital
- Clearwater, FL
- NPI 1265419907
-
- Clinical Medical Laboratory
- Fort Myers, FL
- NPI 1407820889
-
- Clinical Medical Laboratory
- Tampa, FL
- NPI 1962254987
-
- Anatomic Pathology & Clinical Pathology Physician
- Silver Spring, MD
- NPI 1629016282
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.