Active NPI
James Philip Williams, MD
- Pediatrics Physician
- Nogales, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 43562
- Practice address
- 1852 N Mastick Way
Nogales, AZ 85621-1063 - Phone
- (520) 375-6007
- Fax
- (520) 281-1112
- NPI assigned
- Jul 29, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 43562 | AZ | Primary |
Addresses
Primary practice location
1852 N Mastick Way
Nogales, AZ 85621-1063
Mailing address
825 N Grand Ave Ste 100
Nogales, AZ 85621-1061
Phone (520) 761-2133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 539080 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Indiana University School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1103 Circulo Mercado
Rio Rico, AZ 85648-6248
Phone (520) 281-1550
1852 N Mastick Way
Nogales, AZ 85621-1063
Phone (520) 281-1550
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43562 | AZ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nextcare Arizona LLC | Current | Accepting new patients | |
| Mariposa Community Health Center, Inc | Family Medicine | Current | Accepting new patients |
| Mariposa Community Health Center, Inc | Current | Accepting new patients | |
| Mariposa Community Health Center, Inc | Family Medicine | Current | Accepting new patients |
| Nextcare Arizona I JV LLC | Current | Accepting new patients | |
| Mariposa Community Health Center, Inc | Family Medicine | Current | Accepting new patients |
| HCH Tucson Holdings LLC | Past | Accepting new patients | |
| Mariposa Community Health Center, Inc | Family Medicine | Past | Accepting new patients |
Locations
2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172
450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574
1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844
825 N Grand Ave
Ste 100
Nogales, AZ 85621
Phone (520) 761-2128
1852 N Mastick Way
Nogales, AZ 85621
507 N Western Ave
Nogales, AZ 85621
Phone (520) 229-0085
1103 Circulo Mercado
Rio Rico, AZ 85648
Phone 5202811550 ext. 1180
914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620
5369 S Calle Santa Cruz
Ste 145
Tucson, AZ 85706
Phone (520) 573-7500
9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666
1394 W 16th St
Yuma, AZ 85364
Phone (928) 539-0055
Interoperability endpoints
- james.williams.p1@direct.azch.nextgenshare.com
Organizations & group practices 8
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.
-
- Federally Qualified Health Center (FQHC)
- Nogales, AZ
- NPI 1417985474
Family Medicine
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1043371826
-
- Federally Qualified Health Center (FQHC)
- Patagonia, AZ
- NPI 1003837618
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Nogales, AZ
- NPI 1487537445
-
- Federally Qualified Health Center (FQHC)
- Tubac, AZ
- NPI 1578922787
Family Medicine
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1114798071
-
- Critical Access Hospital
- Nogales, AZ
- NPI 1639555865
-
- Federally Qualified Health Center (FQHC)
- Rio Rico, AZ
- NPI 1013213404
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653523200000",
"number": "1831403120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 N GRAND AVE STE 100",
"city": "NOGALES",
"state": "AZ",
"postal_code": "856211061",
"telephone_number": "520-761-2133",
"fax_number": "520-281-1112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1852 N MASTICK WAY",
"city": "NOGALES",
"state": "AZ",
"postal_code": "856211063",
"telephone_number": "520-375-6007",
"fax_number": "520-281-1112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JAMES",
"middle_name": "PHILIP",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-29",
"last_updated": "2022-05-26",
"certification_date": "2022-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "43562",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "539080",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nogales, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.