Organization Active NPI

Jon S. Williams, PLLC.

Doing business as Slim Vegas

  • Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1710607221
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
JON S. WILLIAMS, PLLC.
Doing business as
Slim Vegas
Slim Vegas Bariatric & General Surgery
Practice address
6030 S Rainbow Blvd Ste D2
Las Vegas, NV 89118-2548
Phone
(702) 329-0229
Fax
(866) 611-3024
NPI assigned
Sep 2, 2022
Last updated
Jul 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
Jon S Williams, MDNPI 1316385529
Title
Ceo/Surgeon
Phone
(702) 329-0229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

6030 S Rainbow Blvd Ste D2
Las Vegas, NV 89118-2548

Mailing address

6030 S Rainbow Blvd Ste D2
Las Vegas, NV 89118-2548
Phone (702) 329-0229

Other identifiers 5

IdentifierTypeStateIssuer
V75520OtherNVPTAN
1891404836MedicaidNV
19934OtherNVMEDICAL LICENSE
1962762997MedicaidNV
1316385529MedicaidNV

Other names 2

  • SLIM VEGAS Doing business as
  • SLIM VEGAS BARIATRIC & GENERAL SURGERY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221012003402 NV Part B Supplier - Clinic/Group Practice 4183090384 Receives reassigned benefits from 3 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

11035 Lavender Hill Dr
Ste 160285
Las Vegas, NV 89135

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1710607221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 S RAINBOW BLVD STE D2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182548",
            "telephone_number": "702-329-0229",
            "fax_number": "866-611-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6030 S RAINBOW BLVD STE D2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182548",
            "telephone_number": "702-329-0229",
            "fax_number": "866-611-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON S. WILLIAMS, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-02",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO/SURGEON",
        "authorized_official_telephone_number": "702-329-0229",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "V75520",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891404836",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "19934",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962762997",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316385529",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SLIM VEGAS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SLIM VEGAS BARIATRIC & GENERAL SURGERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.