Williams Family Practice PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23084 Issued in WV

Legal business name

WILLIAMS FAMILY PRACTICE PLLC

Practice address

1 Garton PLZ
Weston, WV 26452-2128

Phone

(304) 517-1301

Fax

(304) 517-1304

NPI assigned

Jun 5, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jeremy S Williams, MDNPI 1922212117

Title

Physician

Phone

(304) 517-1301

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremy Scott Williams, MD

  • Family Medicine Physician
  • Weston, WV
  • NPI 1922212117
  Medicare reassignment Care Compare group NPD Authorized official
• Lynne Alice Shaver, PA-C

  • Physician Assistant
  • Jane Lew, WV
  • NPI 1104847615
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338854400000",
    "number": "1780945907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GARTON PLZ",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264522128",
            "telephone_number": "304-517-1301",
            "fax_number": "304-517-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GARTON PLZ",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264522128",
            "telephone_number": "304-517-1301",
            "fax_number": "304-517-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-05",
        "last_updated": "2012-06-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "304-517-1301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "23084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Marie Whiteman, PTA
• Lindsay Wiant
• William R Sharpe Jr Hospital
• William R Sharpe, Jr. Hospital
• William R. Sharpe, Jr. Hospital
• Abbie Williams, LPC
• Alicia Williams
• Christina Lynne Williams
• James Joseph Williams
• Jeremy Scott Williams, MD

• Family Medicine Physician in Weston, WV
• Providers in Weston, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.