Stephen M Williams, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA628 Issued in ID

Practice address

425 Idaho Street
Gooding, ID 83330

Phone

(208) 934-5900

Fax

(208) 934-5719

NPI assigned

Oct 18, 2006

Last updated

Aug 24, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in ID

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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dandg Medical Associates PLLCGroup PAC ID 6709140510, 16 clinicians

Associates in Family Practice IncGroup PAC ID 2163330325, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Idaho Home Health & Hospice Home health agency, Twin Falls, ID, CCN 137014
• North Canyon Medical Center Hospital, Gooding, ID, CCN 131302
• Cassia Regional Hospital Hospital, Burley, ID, CCN 131326
• St Lukes Magic Valley Medical Center Hospital, Twin Falls, ID, CCN 130002
• St Luke's Regional Medical Center Hospital, Boise, ID, CCN 130006

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Associates in Family Practice Inc

  • Family Medicine Physician
  • Gooding, ID
  • NPI 1326002650
  Medicare reassignment Care Compare group
• D&G Medical Associates PLLC

  • Family Medicine Physician
  • Meridian, ID
  • NPI 1669975900
  Medicare reassignment Care Compare group
• Associates in Family Practice Inc

  • Family Medicine Physician
  • Gooding, ID
  • NPI 1023030848
  NPD
• Associates in Family Practice Inc

  • Family Medicine Physician
  • Gooding, ID
  • NPI 1881659357
  NPD
• Woundpro Technologies

  • Family Medicine Physician
  • Meridian, ID
  • NPI 1649055120
  NPD (past)

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

• Ihc Health Services, Inc.

  dba Intermountain Health Cassia Regional Hospital

  • General Acute Care Hospital
  • Burley, ID
  • NPI 1497865315
  Care Compare affiliation
• LHCG Xvii, LLC

  dba Idaho Home Health & Hospice

  • Home Health Agency
  • Twin Falls, ID
  • NPI 1356669675
  Care Compare affiliation
• North Canyon Medical Center Inc.

  dba North Canyon Medical Center

  • Critical Access Hospital
  • Gooding, ID
  • NPI 1609046671
  Care Compare affiliation
• St Lukes Regional Medical Center

  dba Air St Luke's

  • Ambulance
  • Boise, ID
  • NPI 1518115195

  Hospital

  Care Compare affiliation
• St Lukes Regional Medical Center

  dba St Lukes Meridian Medical Center

  • General Acute Care Hospital
  • Boise, ID
  • NPI 1770586794
  Care Compare affiliation
• St. Luke's Magic Valley Regional Medical Center, LTD.

  dba St Lukes Magic Valley - Air Ambulance

  • General Acute Care Hospital
  • Twin Falls, ID
  • NPI 1932154705
  Care Compare affiliation

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1699856344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 447",
            "city": "GOODING",
            "state": "ID",
            "postal_code": "83330",
            "telephone_number": "208-934-5900",
            "fax_number": "208-934-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 IDAHO STREET",
            "city": "GOODING",
            "state": "ID",
            "postal_code": "83330",
            "telephone_number": "208-934-5900",
            "fax_number": "208-934-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Toone, TSLP
• Connie Vankleeck, OTR/L
• Judith Marie Walburn, PTA-245
• Jennifer A Wert, LMSW
• McKayla Williams
• Jeremiah Kirtland Yates, DPT
• Gamile Yow, CADC, BA

• Physician Assistant in Gooding, ID
• Providers in Gooding, ID by specialty
• Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; 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.