Heather Carolyn Williamson, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2001026591 Issued in MO

Practice address

3449 Pheasant Meadow Dr
Ste 107
O Fallon, MO 63368-7364

Phone

(636) 379-4140

Fax

(636) 379-4132

NPI assigned

Jun 10, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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 and National Provider Directory roles.

• Freeman-Oak Hill Health System

  • General Acute Care Hospital
  • Joplin, MO
  • NPI 1891809679
  Medicare reassignment NPD
• Mercy Hospitals East Communities

  • General Acute Care Hospital
  • Saint Louis, MO
  • NPI 1427098169

  Family Medicine

  Medicare reassignment NPD
• G. C. Franke, D.O., Inc.

  • Family Medicine Physician
  • Bridgeton, MO
  • NPI 1508062316
  NPD (past) Authorized official
• Freeman-Oak Hill Health System

  • Multi-Specialty Clinic/Center
  • Joplin, MO
  • NPI 1679517023

  Family Medicine

  NPD
• Mercy Hospitals East Communities

  • Land Ambulance
  • Saint Louis, MO
  • NPI 1881329902
  NPD
• North County Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Florissant, MO
  • NPI 1356366934
  NPD (past)
• Physician Groups LC

  • Multi-Specialty Clinic/Center
  • Saint Louis, MO
  • NPI 1285664268

  Family Medicine

  NPD (past)
• Carespot Professional Services LLC

  • Urgent Care Clinic/Center
  • Overland Park, KS
  • NPI 1568703783
  NPD (past)

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1700880358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 MASON RIDGE CENTER DR",
            "address_2": "STE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418573",
            "telephone_number": "636-379-4140",
            "fax_number": "636-379-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3449 PHEASANT MEADOW DR",
            "address_2": "STE 107",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687364",
            "telephone_number": "636-379-4140",
            "fax_number": "636-379-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "HEATHER",
        "middle_name": "CAROLYN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-10",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2001026591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204028005",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Lynn Williams, LCSW
• Jonathan Paul Williams, MD
• Michael A Williams, DC
• Rachel Williams I, DPT
• Scott G Williams, M.D.
• Willow Tree Mental Health Center, LLC
• Christine C Wilson, LMT NCTMB
• Jennifer Leah Wilson
• Jennifer Susan Wilson, SLP
• Kalissa Lynn Wilson, MS CCC-SLP

• Family Medicine Physician in O Fallon, MO
• Providers in O Fallon, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.