Active NPI
Shauna T Williams MD PA
- Surgery Physician
- Boise, ID
National Provider Identifier
1669443420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- M5849
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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 DirectoryLocations
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.
-
- Surgery Physician
- Moscow, ID
- NPI 1811059264
-
- Surgery Physician
- Eugene, OR
- NPI 1891715678
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.