Williams Medical Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E2014 Issued in AR

Legal business name

WILLIAMS MEDICAL CLINIC

Practice address

403E Morrow St N
Mena, AR 71953-4317

Phone

(479) 243-9024

Fax

(479) 243-9248

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Robert S. Williams, M.D.

Title

Owner

Phone

(479) 243-9024

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gretchen Laurel Goodnight, ANP

  • Family Nurse Practitioner
  • Mena, AR
  • NPI 1134425705
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1679620835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 295",
            "city": "LOCKESBURG",
            "state": "AR",
            "postal_code": "718460295",
            "telephone_number": "870-289-5865",
            "fax_number": "870-289-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403E MORROW ST N",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719534317",
            "telephone_number": "479-243-9024",
            "fax_number": "479-243-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-243-9024",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E2014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164012002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherilyn M Webb, MD
• Jonathan Carl Welsh, M.D.
• Jacy L White
• Wilhelmina Emergency Physicians LLC
• Sidney Caroline Wilkins, DDS
• Joseph Jackson Williams, DO
• Robert Sherwood Williams, MD
• Lauren Gaston Willis, PHARM.D.
• Rosalie Kay Winchester, COTA
• Samuel William Wright, D.M.D.

• All providers in Mena, AR
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.