Active NPI
Steven L. Williams, D.O.
- Emergency Medicine Physician
- Gravette, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- E5615
- Practice address
- 1101 Jackson St SW
Gravette, AR 72736-9121 - Phone
- (479) 787-5291
- Fax
- (479) 344-6410
- NPI assigned
- Jun 12, 2006
- Last updated
- Aug 19, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2000152537 | MO | |
| Emergency Medicine Physician | 207P00000X | E5615 | AR | Primary |
Addresses
Primary practice location
1101 Jackson St SW
Gravette, AR 72736-9121
Mailing address
1101 Jackson St SW
Gravette, AR 72736-9121
Phone (479) 787-5291
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208317701 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4600 | OK | MD | Dentist |
| E5615 | AR | MD | Emergency Medicine Physician |
| 2000152537 | MO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cox Barton County Hospital | Emergency Medicine | Current | Accepting new patients |
| Emergency Services of Oklahoma PC | Emergency Medicine | Current | Accepting new patients |
| Sgoh Acquisition Inc | Current | Accepting new patients | |
| Sgoh Acquisition Inc | Current | Accepting new patients | |
| Skaggs Community Hospital Association | Emergency Medicine | Past | Accepting new patients |
| Mercy Clinic Joplin LLC | Past | Accepting new patients | |
| Sjmgroup | Past | Accepting new patients | |
| Integris Grove Hospital | Past | Accepting new patients |
Locations
1101 Jackson St SW
Gravette, AR 72736
Phone (479) 787-5221
29 NW 1st Ln
Lamar, MO 64759
Phone (417) 681-5266
4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ozarks Community Hospital of Gravette
- Critical Access Hospital
- Gravette, AR
- NPI 1568643005
-
- Emergency Medicine Physician
- Norman, OK
- NPI 1215249891
-
- Emergency Medicine Physician
- Lamar, MO
- NPI 1174166177
-
dba Integris Health Grove Hospital
- General Acute Care Hospital
- Grove, OK
- NPI 1467473579
-
- Family Medicine Physician
- Joplin, MO
- NPI 1215264817
-
- Endocrinology, Diabetes & Metabolism Physician
- Englewood, CO
- NPI 1376590034
-
dba CoxHealth Emergency Services
- Emergency Medicine Physician
- Branson, MO
- NPI 1073686879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1871535864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 JACKSON ST SW",
"city": "GRAVETTE",
"state": "AR",
"postal_code": "727369121",
"telephone_number": "479-787-5291",
"fax_number": "479-344-6410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 JACKSON ST SW",
"city": "GRAVETTE",
"state": "AR",
"postal_code": "727369121",
"telephone_number": "479-787-5291",
"fax_number": "479-344-6410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "STEVEN",
"middle_name": "L.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "2000152537",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AR",
"license": "E5615",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208317701",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gravette, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.