Individual provider Active NPI

Debra Williams, MD

  • Obstetrics & Gynecology Physician
  • San Antonio, TX
National Provider Identifier
1609870930
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
H6707 Issued in TX
Practice address
502 Madison Oak Dr
Suite 440
San Antonio, TX 78258-4084
Phone
(210) 946-1300
Fax
(210) 946-1700
NPI assigned
Jun 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X H6707 TX Primary

Addresses

Primary practice location

502 Madison Oak Dr
Suite 440
San Antonio, TX 78258-4084

Mailing address

502 Madison Oak Dr
Suite 440
San Antonio, TX 78258-4084
Phone (210) 946-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090724000566 TX Practitioner - Obstetrics/Gynecology 5799727681 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical Branch at Galveston, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Fort Defiance Indian Hospital Board, IncorporationGroup PAC ID 0941336697, 153 clinicians

Practice addresses (Care Compare)

Corner of Route N12 and N7
Fdihb Inc.
Fort Defiance, AZ 86504-0649
Phone (928) 729-8082

PO Box
Suite 649
Fort Defiance, AZ 86504-0649

Hospital & facility affiliations

  • Fort Defiance Indian Hospital Hospital, Ft. Defiance, AZ, CCN 030071

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H6707TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Aug 23, 2023 Accepting new patients
Women Partners in OB/GYN LLP Obstetrics & Gynecology CurrentSince Jun 1, 1992 Accepting new patients

Locations

502 Madison Oak Dr
Ste 440
San Antonio, TX 78258
Phone (210) 946-1300

5000 Baptist Health Dr
Ste 100
Schertz, TX 78154
Phone (210) 946-1300

5000 Baptist Health Dr
#10
Schertz, TX 78154
Phone (210) 946-1300

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1609870930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 MADISON OAK DR",
            "address_2": "SUITE 440",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584084",
            "telephone_number": "210-946-1300",
            "fax_number": "210-946-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 MADISON OAK DR",
            "address_2": "SUITE 440",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584084",
            "telephone_number": "210-946-1300",
            "fax_number": "210-946-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DEBRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "H6707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.