Individual provider Active NPI

Julia Williams, M.D.

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1659427680
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22241 Issued in AZ
Practice address
3411 N 5TH Ave Ste 209
Phoenix, AZ 85013-3812
Phone
(602) 789-0344
Fax
(602) 789-8389
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 22241 AZ
Family Medicine Physician 207Q00000X 22241 AZ Primary

Addresses

Primary practice location

3411 N 5TH Ave Ste 209
Phoenix, AZ 85013-3812

Mailing address

3411 N 5TH Ave Ste 209
Phoenix, AZ 85013-3812
Phone (602) 789-0344

Other practice location 1

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 380-0476

Other identifiers 1

IdentifierTypeStateIssuer
167496MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20051201000866 AZ Practitioner - Family PracticePractitioner - Emergency Medicine 1759301989 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Acute Medical Services 1 PC CurrentSince Feb 27, 2018 Accepting new patients
NM Pacs 2 LLC Past Accepting new patients
Willard Emergency Physicians Emergency Medicine Past Accepting new patients
Verde Valley Medical Center Past Accepting new patients

Locations

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

3411 N 5th Ave
Ste 209
Phoenix, AZ 85013

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

1921 W Hospital Dr
Tucson, AZ 85704
Phone (520) 544-5200

Organizations & group practices 4

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1659427680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 N 5TH AVE STE 209",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133812",
            "telephone_number": "602-789-0344",
            "fax_number": "602-789-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 N 5TH AVE STE 209",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133812",
            "telephone_number": "602-789-0344",
            "fax_number": "602-789-8389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N Beaver St",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860013118",
            "country_code": "US",
            "telephone_number": "928-380-0476",
            "fax_number": "928-214-3882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JULIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "22241",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "22241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167496",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.