Active NPI
Pamela Sue Williams, DO
- Obstetrics & Gynecology Physician
- Blackfoot, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- O-0454
- Practice address
- 98 Poplar St
Blackfoot, ID 83221-1758 - Phone
- (208) 785-4100
- NPI assigned
- May 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | O-0454 | ID | Primary |
Addresses
Primary practice location
98 Poplar St
Blackfoot, ID 83221-1758
Mailing address
98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 785-4100
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807841700 | Medicaid | ID | |
| 000010167601 | Other | ID | RBS LAMERE |
| 323925 | Other | ID | ALTIUS |
| S6241 | Other | ID | BCS LAMERE |
| 000010163103 | Other | ID | REGENCE BLUE SHIELD |
| S6167 | Other | ID | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 70.59 of 100
- Quality
- 83.37
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 16.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O-0454 | ID | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alaska Womens Health PC | Obstetrics & Gynecology | Current | Accepting new patients |
| South Peninsula Hospital, Inc | Current | Accepting new patients | |
| South Peninsula Hospital, Inc | Current | Accepting new patients | |
| Obhg Alaska, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Planned Parenthood Great Northwest, Hawai'I, Alaska, Indiana, Kentucky | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111
3260 Providence Dr
Ste 425
Anchorage, AK 99508
Phone (907) 561-7111
3260 Providence Dr
Ste 322
Anchorage, AK 99508
Phone (907) 563-5151
17101 Snowmobile Ln
Ste 201
Eagle River, AK 99577
Phone (907) 561-7111
4300 Bartlett St
Homer, AK 99603
Phone (907) 235-0369
4136 Bartlett St
Homer, AK 99603
Phone (907) 235-6127
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/sphosp-0c203fcf
- https://api.platform.athenahealth.com/10958/brand/1/csg/1/fhir/r4
Organizations & group practices 6
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.
-
- Obstetrics & Gynecology Physician
- Anchorage, AK
- NPI 1083890180
-
- Obstetrics & Gynecology Physician
- Anchorage, AK
- NPI 1740697069
-
- Critical Access Hospital
- Homer, AK
- NPI 1093968372
-
- Obstetrics & Gynecology Physician
- Anchorage, AK
- NPI 1265496061
-
- Home Health Agency
- Homer, AK
- NPI 1164400750
-
- Non-Surgical Family Planning Clinic/Center
- Seattle, WA
- NPI 1083700686
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216944000000",
"number": "1750598256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98 POPLAR ST",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "832211758",
"telephone_number": "208-785-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 POPLAR ST",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "832211758",
"telephone_number": "208-785-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "PAMELA",
"middle_name": "SUE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2008-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "ID",
"license": "O-0454",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807841700",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RBS LAMERE",
"identifier": "000010167601",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTIUS",
"identifier": "323925",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCS LAMERE",
"identifier": "S6241",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "000010163103",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "S6167",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Blackfoot, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.