Organization Active NPI

Shauna T Williams MD PA

  • Surgery Physician
  • Boise, ID
National Provider Identifier
1669443420
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
M5849 Issued in ID
Legal business name
SHAUNA T WILLIAMS MD PA
Practice address
1072 N Liberty St
#201
Boise, ID 83704-8706
Phone
(208) 377-2273
Fax
(208) 367-3059
NPI assigned
Jan 30, 2006
Last updated
Feb 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Authorized official

Name
Shauna T Williams, MD
Title
President
Phone
(208) 377-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X M5849 ID Primary

Addresses

Primary practice location

1072 N Liberty St
#201
Boise, ID 83704-8706

Mailing address

1072 N Liberty St
#201
Boise, ID 83704-8706
Phone (208) 377-2273

National Provider Directory

National Provider Directory

Locations

901 N Curtis Rd
Ste 303
Boise, ID 83706
Phone (208) 377-2273

Practitioners & affiliated clinicians

Practitioners 2

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": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1669443420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 N LIBERTY ST",
            "address_2": "#201",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048706",
            "telephone_number": "208-377-2273",
            "fax_number": "208-367-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 N LIBERTY ST",
            "address_2": "#201",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048706",
            "telephone_number": "208-377-2273",
            "fax_number": "208-367-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAUNA T WILLIAMS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-377-2273",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "ID",
            "license": "M5849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.