Keith Edward Williamson, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA02083 Issued in TX

Practice address

108 South Williams Barnett Ave
Cleveland, TX 77327-4542

Phone

(281) 592-9775

Fax

(281) 432-0548

NPI assigned

Jul 16, 2007

Last updated

Aug 12, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mr. Joseph E Goin Other name

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Physician Assistant

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Calvary Medical PAGroup PAC ID 7719876218, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Calvary Medical, PA

  dba Calvary Medical Clinic

  • Legal Medicine
  • Cleveland, TX
  • NPI 1265568042
  Medicare reassignment Care Compare group
• Medspring of Texas, PA

  • Urgent Care Clinic/Center
  • McKinney, TX
  • NPI 1356871347
  NPD (past)

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1811196207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 SOUTH WILLIAMS BARNETT AVE",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274542",
            "telephone_number": "281-592-9775",
            "fax_number": "281-432-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 SOUTH WILLIAMS BARNETT AVE",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274542",
            "telephone_number": "281-592-9775",
            "fax_number": "281-432-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "KEITH",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02083",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA02083",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPH",
            "last_name": "GOIN",
            "middle_name": "E",
            "prefix": "MR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Baylee Watson
• Haley Nichole Watson, PHARMD
• Westmoreland Orthopaedics PLLC
• Williams Family Practice, P a (Williams Family Practice)
• Balmore W Williams, M.D.
• Wyteka Wilson
• Win MD Health PLLC
• Winnie-Stowell Hospital District (Cleveland Health Care Center)
• Wisdom Home Health Care Inc (First In Care Home Health)
• Sallie Melinda Witte, LM

• Physician Assistant in Cleveland, TX
• Providers in Cleveland, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.

Verify at the official NPI Registry.