Individual provider Active NPI

Wesley Williams, MD

  • Emergency Medicine Physician
  • Redmond, OR
National Provider Identifier
1730685579
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
11405612-1205 Issued in UT
Practice address
1253 NW Canal Blvd
Redmond, OR 97756-1334
Phone
(541) 548-8131
Fax
(541) 526-6608
NPI assigned
Apr 2, 2018
Last updated
Apr 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 11405612-1205 UT Primary

Addresses

Primary practice location

1253 NW Canal Blvd
Redmond, OR 97756-1334

Mailing address

30 N 1900 E RM 1C026
Salt Lake City, UT 84132-0002
Phone (801) 581-2272

Other practice location 1

300 W Ottley Ave
Fruita, CO 81521-2118
Phone (970) 858-2119

Other practice location 2

30 N 1900 E # 1C026
Salt Lake City, UT 84132-0002
Phone (801) 581-2272

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address wwilliams67527@direct.med.utah.edu Direct UNIVERSITY OF UTAH
Direct Messaging Address wwilliams192172@secure.stcharleshealthcare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WY, CO, TX, OR5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20210601001742 UT Practitioner - Emergency Medicine 1557794351 Reassigns benefits to 2 organizations
I20211011000440 WY Practitioner - Emergency Medicine 1557794351 Reassigns benefits to 1 organization
I20211022001236 CO Practitioner - Emergency Medicine 1557794351 Reassigns benefits to 3 organizations
I20230605002183 TX Practitioner - Emergency Medicine 1557794351 Reassigns benefits to 1 organization
I20240329002664 OR Practitioner - Emergency Medicine 1557794351 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Utah School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Charles Health System IncGroup PAC ID 3870402852, shared by 10 NPIs, 174 clinicians

Practice addresses (Care Compare)

384 SE Combs Flat Rd
Prineville, OR 97754-2562
Phone (541) 706-2768

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Observation Medicine Services of Colorado, Inc. Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
St. Charles Health System, Inc. CurrentSince Oct 1, 2025 Accepting new patients
University of Utah Adult Services Current Accepting new patients
University of Utah Adult Services Current Accepting new patients
St. Charles Health System, Inc. CurrentSince Mar 11, 2024 Accepting new patients
St. Charles Health System, Inc. CurrentSince Mar 11, 2024 Accepting new patients
Moab Valley Healthcare, Inc. CurrentSince Oct 23, 2024 Accepting new patients
University of Utah Adult Services CurrentSince Jul 2, 2021 Accepting new patients
St. Charles Health System, Inc. Emergency Medicine CurrentSince Jan 1, 2026 Accepting new patients
University of Utah Adult Services CurrentSince May 1, 2021 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince May 22, 2023 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. Emergency Medicine Current Accepting new patients
Aspen Valley Hospital District Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
University of Utah Adult Services CurrentSince May 1, 2021 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. CurrentSince Apr 1, 2023 Accepting new patients
St. Charles Health System, Inc. CurrentSince Oct 1, 2025 Accepting new patients
St. Charles Health System, Inc. Emergency Medicine CurrentSince Jan 1, 2026 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
Usacs of Colorado, Inc Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
Moab Valley Healthcare, Inc CurrentSince Oct 23, 2024 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince May 22, 2023 Accepting new patients
Aspen Valley Hospital District CurrentSince May 1, 2023 Accepting new patients
St. Charles Health System, Inc. Emergency Medicine Current Accepting new patients
St. Charles Health System, Inc. Past Accepting new patients
St. Charles Health System, Inc. Past Accepting new patients
Taproot Therapy PLLC PastSince Feb 1, 2023 Accepting new patients
St. Charles Health System, Inc. Past Accepting new patients

Locations

401 Castle Creek Rd
Aspen, CO 81611
Phone (970) 544-1192

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

29358 Network Pl
Chicago, IL 60673

51781 Huntington Rd
La Pine, OR 97739
Phone (541) 666-7920

470 NE A St
Madras, OR 97741
Phone (541) 383-3668

384 SE Combs Flat Rd
Prineville, OR 97754
Phone (541) 383-3668

384 SE Combs Flat Rd
Ste 1200
Prineville, OR 97754
Phone (541) 447-6263

1253 NW Canal Blvd
Redmond, OR 97756
Phone (541) 548-8131

211 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-2164

450 W Williams Way
Moab, UT 84532
Phone (435) 259-7191

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

1200 College Dr
Rock Springs, WY 82901
Phone (307) 352-8352

Interoperability endpoints

  • Direct secure messaging: wwilliams192172@secure.stcharleshealthcare.org

Organizations & group practices 27

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.

View all 27

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1730685579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N 1900 E RM 1C026",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320002",
            "telephone_number": "801-581-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 NW CANAL BLVD",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561334",
            "telephone_number": "541-548-8131",
            "fax_number": "541-526-6608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 W Ottley Ave",
            "address_purpose": "LOCATION",
            "city": "Fruita",
            "state": "CO",
            "postal_code": "815212118",
            "country_code": "US",
            "telephone_number": "970-858-2119",
            "fax_number": "970-858-2743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 N 1900 E # 1C026",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841320002",
            "country_code": "US",
            "telephone_number": "801-581-2272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "WESLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "UT",
            "license": "11405612-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wwilliams67527@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "UNIVERSITY OF UTAH",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wwilliams192172@secure.stcharleshealthcare.org",
            "affiliation": "N",
            "address_1": "1253 NW Canal Blvd",
            "city": "Redmond",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977561334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

Verify at the official NPI Registry.