Active NPI
Alan Loudon Williams, MD
- Neuroradiology Physician
- Blaine, WA
National Provider Identifier
1770519753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- License
- 107111
- Practice address
- 8463 Pointe Rd N
Blaine, WA 98230-4305 - Phone
- (360) 371-0902
- Fax
- (360) 371-0188
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | MD00020128 | WA | |
| Diagnostic Radiology Physician | 2085R0202X | MD00020128 | WA | |
| Neuroradiology Physician | 2085N0700X | 107111 | MO | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 107111 | MO |
Addresses
Primary practice location
8463 Pointe Rd N
Blaine, WA 98230-4305
Mailing address
8463 Pointe Rd N
Blaine, WA 98230-4305
Phone (360) 371-0902
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00020128 | WA | MD | Neuroradiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Scanning Consultants PA | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Diagnostic Radiology Physician
- Carmel, IN
- NPI 1396712725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273449600000",
"number": "1770519753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8463 POINTE RD N",
"city": "BLAINE",
"state": "WA",
"postal_code": "982304305",
"telephone_number": "360-371-0902",
"fax_number": "360-371-0188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8463 POINTE RD N",
"city": "BLAINE",
"state": "WA",
"postal_code": "982304305",
"telephone_number": "360-371-0902",
"fax_number": "360-371-0188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ALAN",
"middle_name": "LOUDON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2010-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "WA",
"license": "MD00020128",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD00020128",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "MO",
"license": "107111",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "107111",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blaine, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.