John Vincent Williams, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0042007 Issued in FL

Practice address

3700 Johnson St
Hollywood, FL 33021-6031

Phone

(954) 265-2550

Fax

(954) 265-2570

NPI assigned

Oct 5, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Sciometrix IncGroup PAC ID 9335511443, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trust USA Home Health LLC Home health agency, Plantation, FL, CCN 109594

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.williams@pim-fl.direct.office.nextgen.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• John V. Williams, M.D., PA

  • Internal Medicine Physician
  • Pembroke Pines, FL
  • NPI 1316402886
  Medicare reassignment NPD Authorized official
• Sciometrix Inc

  • General Practice Physician
  • Staten Island, NY
  • NPI 1457065591

  FL

  Medicare reassignment Care Compare group NPD
• Lilia Roque Guerrero M D P a

  • General Practice Physician
  • Miami, FL
  • NPI 1649502626
  Medicare reassignment NPD
• The Diabetic Place LLC

  • Family Nurse Practitioner
  • Pembroke Pines, FL
  • NPI 1104022169
  NPD (past)
• Sciometrix LLC

  • General Practice Physician
  • Royal Oak, MI
  • NPI 1619649894
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Trust USA Home Health LLC

  • Home Health Agency
  • Plantation, FL
  • NPI 1679717698
  Care Compare affiliation

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1609863489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CORPORATE WAY",
            "address_2": "DOOR D",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253925",
            "telephone_number": "954-276-5685",
            "fax_number": "954-985-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 JOHNSON ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216031",
            "telephone_number": "954-265-2550",
            "fax_number": "954-265-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JOHN",
        "middle_name": "VINCENT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0042007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045678100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charity Wilkerson, PHARMD
• Sarah Willey, MSN, APRN, FNP-C
• Andrea Faithlyn Williams, ARNP
• Elworthy Williams Jr.
• Jennifer Williams, LMHC
• Lasheika Williams
• Lashonda Lakia Williams, MSOTR/L
• Matthew Z Williams
• Michelle Williams
• Gay Lynn Williamson-Grigas, LMHC

• Internal Medicine Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.

Verify at the official NPI Registry.