Organization Active NPI

Patrickwilliamsmd,PLLC

  • Home Health Agency
  • Grand Lake, CO
National Provider Identifier
1881082139
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PATRICKWILLIAMSMD,PLLC
Practice address
1137 County Road 494
Grand Lake, CO 80447
Phone
(303) 601-9394
Fax
(303) 284-7668
NPI assigned
Jan 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

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

Authorized official

Name
Dr. Patrick Norman Williams, M.D.
Title
Sole Proprietor
Phone
(303) 601-9394

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1137 County Road 494
Grand Lake, CO 80447

Mailing address

1137 County Road 494
Grand Lake, CO 80447
Phone (303) 601-9394

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1881082139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 COUNTY ROAD 494",
            "city": "GRAND LAKE",
            "state": "CO",
            "postal_code": "80447",
            "telephone_number": "303-601-9394",
            "fax_number": "303-284-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 COUNTY ROAD 494",
            "city": "GRAND LAKE",
            "state": "CO",
            "postal_code": "80447",
            "telephone_number": "303-601-9394",
            "fax_number": "303-284-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICKWILLIAMSMD,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "NORMAN",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "303-601-9394",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Lake, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; 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.