NPIMap

Organization Active NPI

Todd Williams, MD PC

  • Plastic and Reconstructive Surgery Physician
  • Farmington, NM
National Provider Identifier
1619060274
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
TODD WILLIAMS, MD PC
Practice address
2300 E 30TH St BLDG B
Ste 103
Farmington, NM 87401-8991
Phone
(505) 327-1754
Fax
(505) 327-1840
NPI assigned
Oct 2, 2006
Last updated
Jun 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Authorized official

Name
Ms. Gaye Dumas
Title
Office Manager
Phone
(505) 327-1754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

2300 E 30TH St BLDG B
Ste 103
Farmington, NM 87401-8991

Mailing address

PO Box 5820
Farmington, NM 87499-5820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080820000729 NM Part B Supplier - Clinic/Group Practice 6800961160 Receives reassigned benefits from 1 practitioner
Practice locations: Farmington, NM

National Provider Directory

National Provider Directory
Tax ID family
Todd Williams MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2300 E 30th St
Ste C2
Farmington, NM 87401
Phone (505) 324-1000

2700 Farmington Ave
Bldg E
Farmington, NM 87401
Phone (505) 325-2323

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1619060274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5820",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874995820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 E 30TH ST BLDG B",
            "address_2": "STE 103",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018991",
            "telephone_number": "505-327-1754",
            "fax_number": "505-327-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD WILLIAMS, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "DUMAS",
        "authorized_official_first_name": "GAYE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "505-327-1754",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.