Robert Jay Williams, PAC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA00919 Issued in TX

Practice address

6410 Fannin
#1115
Houston, TX 77030

Phone

(713) 795-5300

Fax

(713) 795-0030

NPI assigned

Mar 5, 2007

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 3

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

David J Macdougall DO PAGroup PAC ID 8527020544, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baytown Medical Center LP Hospital, Baytown, TX, CCN 670109
• Houston Methodist Baytown Hospital Hospital, Baytown, TX, CCN 450424

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• David J. Macdougall, D.O., P.a.

  • Neurological Surgery Physician
  • Baytown, TX
  • NPI 1902089618
  Medicare reassignment Care Compare group

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

• Baytown Medical Center, LP

  • General Acute Care Hospital
  • Baytown, TX
  • NPI 1457820995
  Care Compare affiliation
• Baytown Medical Center, LP

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1780436287
  Care Compare affiliation
• San Jacinto Methodist Hospital

  • General Acute Care Hospital
  • Baytown, TX
  • NPI 1891789772
  Care Compare affiliation

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639208697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7115 STAFFORDSHIRE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "713-795-5300",
            "fax_number": "713-795-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 FANNIN",
            "address_2": "#1115",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "713-795-5300",
            "fax_number": "713-795-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ROBERT",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA00919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX LICENSE NO",
            "identifier": "PA00919",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TSBME",
            "identifier": "PA00919",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE S",
            "identifier": "88N184",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ravaughn Kienne Williams, OD
• Rene Misun Williams, RN
• Retta Arlene Williams
• Rhonda Williams
• Robert Williams
• Roma Williams, LMFT
• Roy Lee Williams Jr., MD, MPH
• Russel H Williams, MD
• Russell Andrew Williams, D.D.S.
• Ryan Anthony Williams, M.D.

• Surgical Physician Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.