NPIMap

Organization Active NPI

Phillip E. Williams, III, MD, PA

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1811213903
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MO311 Issued in TX
Legal business name
PHILLIP E. WILLIAMS, III, MD, PA
Practice address
8230 Walnut Hill Lane
Suite 804
Dallas, TX 75231-4482
Phone
(214) 363-6217
Fax
(214) 373-4236
NPI assigned
Apr 14, 2010
Last updated
Apr 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Authorized official

Name
Dr. Phillip Earle Williams III, M.D.
Title
Owner
Phone
(214) 363-6217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MO311 TX Primary

Addresses

Primary practice location

8230 Walnut Hill Lane
Suite 804
Dallas, TX 75231-4482

Mailing address

8230 Walnut Hill Lane
Suite 804
Dallas, TX 75231-4482
Phone (214) 363-6217

Other identifiers 2

IdentifierTypeStateIssuer
0081MAOtherBLUE CROSS BLUE SHIELD
P00366027OtherTXRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1811213903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8230 WALNUT HILL LANE",
            "address_2": "SUITE 804",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314482",
            "telephone_number": "214-363-6217",
            "fax_number": "214-373-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 WALNUT HILL LANE",
            "address_2": "SUITE 804",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314482",
            "telephone_number": "214-363-6217",
            "fax_number": "214-373-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP E. WILLIAMS, III, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-14",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "EARLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-363-6217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "MO311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0081MA",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00366027",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.

Verify at the official NPI Registry.