Organization Active NPI

Dr Ryan Raymond Williams MD PC

  • Child & Adolescent Psychiatry Physician
  • Beaver, UT
National Provider Identifier
1710280565
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
338570-1205 Issued in UT
Legal business name
DR RYAN RAYMOND WILLIAMS MD PC
Practice address
190 South 100 West
Beaver, UT 84713-1512
Phone
(435) 327-2484
Fax
(435) 438-6352
NPI assigned
Dec 17, 2010
Last updated
Apr 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Authorized official

Name
Dr. Ryan Raymond Williams, MD
Title
Owner
Phone
(435) 327-2484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 338570-1205 UT Primary

Addresses

Primary practice location

190 South 100 West
Beaver, UT 84713-1512

Mailing address

PO Box 1512
190 S 100 W
Beaver, UT 84713-1512
Phone (435) 327-2484

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1710280565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1512",
            "address_2": "190 S 100 W",
            "city": "BEAVER",
            "state": "UT",
            "postal_code": "847131512",
            "telephone_number": "435-327-2484",
            "fax_number": "435-438-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 SOUTH 100 WEST",
            "city": "BEAVER",
            "state": "UT",
            "postal_code": "847131512",
            "telephone_number": "435-327-2484",
            "fax_number": "435-438-6352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RYAN RAYMOND WILLIAMS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-17",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-327-2484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "UT",
            "license": "338570-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.