Individual provider Active NPI

Joseph Williams, MD

  • Emergency Medicine Physician
  • Durand, WI
National Provider Identifier
1902048671
Registry record updated Dec 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
125055414 Issued in IL
Practice address
1220 3Rd Ave W
Durand, WI 54736-1600
Phone
(715) 672-4211
NPI assigned
Mar 27, 2009
Last updated
Dec 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 125055414 IL Primary

Addresses

Primary practice location

1220 3Rd Ave W
Durand, WI 54736-1600

Mailing address

1220 3Rd Ave W
Durand, WI 54736-1600

Other practice location 1

101 Cole Ave
Bisbee, AZ 85603-1327
Phone (520) 432-8383

Other practice location 2

900 W Clairemont Ave
Eau Claire, WI 54701-5105
Phone (715) 717-4222

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jwilliams99144@ewd.direct.hshs.org Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210407002481 AZ Practitioner - Emergency Medicine 1254455090 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125055414ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bisbee Hospital Association CurrentSince Dec 23, 2020 Accepting new patients
Bisbee Hospital Association Current Accepting new patients
Copper Queen Medical Associates Douglas CurrentSince Dec 23, 2020 Accepting new patients

Locations

101 Cole Ave
Bisbee, AZ 85603
Phone (520) 432-5383

100 E 5th St
Douglas, AZ 85607
Phone (520) 364-7659

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640304000000",
    "number": "1902048671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 3RD AVE W",
            "city": "DURAND",
            "state": "WI",
            "postal_code": "547361600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 3RD AVE W",
            "city": "DURAND",
            "state": "WI",
            "postal_code": "547361600",
            "telephone_number": "715-672-4211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Cole Ave",
            "address_purpose": "LOCATION",
            "city": "Bisbee",
            "state": "AZ",
            "postal_code": "856031327",
            "country_code": "US",
            "telephone_number": "520-432-8383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 W Clairemont Ave",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "547015105",
            "country_code": "US",
            "telephone_number": "715-717-4222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-27",
        "last_updated": "2021-12-24",
        "certification_date": "2021-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "125055414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwilliams99144@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "cda/ccd/txt",
            "address_1": "900 W Clairemont Ave",
            "city": "Eau Claire",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547016122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Durand, WI

Sources for this page

Verify at the official NPI Registry.