Winston Samuel Williams Jr., MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G49125 Issued in CA

Practice address

50 Alamo Ave
Weed, CA 96094-2352

Phone

(530) 938-3491

Fax

(530) 938-2662

NPI assigned

Sep 9, 2005

Last updated

May 29, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25248/brand/1/csg/1/fhir/r4

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.

• McCloud Healthcare Clinic, Inc.

  dba Siskiyou Medical Group

  • Bone Densitometry Radiologic Technologist
  • Mount Shasta, CA
  • NPI 1003372624
  NPD (past)

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1609860220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960670339",
            "telephone_number": "530-926-5613",
            "fax_number": "530-926-8798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ALAMO AVE",
            "city": "WEED",
            "state": "CA",
            "postal_code": "960942352",
            "telephone_number": "530-938-3491",
            "fax_number": "530-938-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "WINSTON",
        "middle_name": "SAMUEL",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G49125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "010053798",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G491250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Goree Uhlig, COTA
• Summer Vaziralli
• Todd Jason Weaver, DDS
• Weed Union Elementary
• Kate Elizabeth West, FNP
• Debbie Xiong
• Oksana Zavoyko
• Paul Henry Zwetsloot, M.P.T.

• Family Medicine Physician in Weed, CA
• Providers in Weed, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.