Individual provider Active NPI

Eugene Williams, PA-C

  • Surgical Physician Assistant
  • Rockingham, VA
National Provider Identifier
1760435085
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
0110003182 Issued in VA
Practice address
2006 Health Campus Dr
Rockingham, VA 22801-8679
Phone
(540) 689-5555
Fax
(757) 579-8607
NPI assigned
May 18, 2006
Last updated
Oct 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110003182 VA
Physician Assistant 363A00000X MA051878 PA
Surgical Physician Assistant 363AS0400X 0110003182 VA Primary

Addresses

Primary practice location

2006 Health Campus Dr
Rockingham, VA 22801-8679

Mailing address

580 Regiment Rd
Penn Laird, VA 22846-9655
Phone (717) 476-0722

Other practice location 1

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

Other identifiers 1

IdentifierTypeStateIssuer
1760435085MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, DE, MD4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20091106000292 VA Practitioner - Physician Assistant 1658324520 Reassigns benefits to 2 organizations
I20180911002756 DC Practitioner - Physician Assistant 1658324520 Reassigns benefits to 2 organizations
I20210913001459 DE Practitioner - Physician Assistant 1658324520 Reassigns benefits to 1 organization
I20240724000055 MD Practitioner - Physician Assistant 1658324520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luminis Health Medical Group, LLCGroup PAC ID 2860447315, 540 clinicians

Practice addresses (Care Compare)

2001 Medical Pkwy
Annapolis, MD 21401-3280
Phone (443) 481-1000

2003 Medical Pkwy
Annapolis, MD 21401-3081

2003 Medical Pkwy Wayson Pavillion
Advanced Internal Medicine Residenc
Annapolis, MD 21401-3081
Phone (443) 951-4286

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA051878PAMDPhysician Assistant
0110003182VAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center CurrentSince Aug 1, 2024 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince May 1, 2024 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Christiana Care Health Services, Inc CurrentSince Aug 23, 2021 Accepting new patients
Dimensions Health Associates Dba University of Maryland Capital Region CurrentSince Mar 5, 2024 Accepting new patients
Dimensions Healthcare Associates Inc CurrentSince Mar 5, 2024 Accepting new patients
Winchester Medical Center Current Accepting new patients
Winchester Medical Center CurrentSince Aug 1, 2024 Accepting new patients
Inova Health Care Services CurrentSince Jul 9, 2018 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince May 1, 2024 Accepting new patients
Christiana Care Health Services Inc CurrentSince Aug 23, 2021 Accepting new patients
Inova Health Care Services CurrentSince Jul 9, 2018 Accepting new patients
Cardiac & Thoracic Surgical Associates, LTD Past Accepting new patients

Locations

4755 Ogletown Stanton Rd
#1E50
Newark, DE 19718
Phone (302) 733-1980

4755 Ogletown Stanton Rd
Ste 1E50
Newark, DE 19718
Phone (302) 733-1980

2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

2900 Mercy Ln
Cheverly, MD 20785
Phone (301) 618-2010

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

1880 Amherst St
Ste 310
Winchester, VA 22601
Phone (540) 536-6721

220 Campus Blvd
Ste 320
Winchester, VA 22601

Interoperability endpoints

  • Direct secure messaging: ewilliams1093082@direct.umm.edu
  • Direct secure messaging: ewilliams1429369@valleyhealth.direct-ci.com

Organizations & group practices 17

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 17

Hospital & facility affiliations 2

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1760435085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 REGIMENT RD",
            "city": "PENN LAIRD",
            "state": "VA",
            "postal_code": "228469655",
            "telephone_number": "717-476-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 HEALTH CAMPUS DR",
            "city": "ROCKINGHAM",
            "state": "VA",
            "postal_code": "228018679",
            "telephone_number": "540-689-5555",
            "fax_number": "757-579-8607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423307",
            "country_code": "US",
            "telephone_number": "703-776-4001",
            "fax_number": "703-776-7113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "EUGENE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003182",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051878",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": "0110003182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760435085",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockingham, VA

Sources for this page

Verify at the official NPI Registry.