Organization Active NPI

Ella M Williams, MD PA

  • Psychiatry Physician
  • Burleson, TX
National Provider Identifier
1912934241
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
K2385 Issued in TX
Legal business name
ELLA M WILLIAMS, MD PA
Practice address
11797 South Fwy
Suite 226
Burleson, TX 76028-7026
Phone
(817) 293-9910
Fax
(817) 293-9911
NPI assigned
Jun 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Ella M Williams, MDNPI 1124210463
Title
Owner
Phone
(817) 293-9910

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X K2385 TX Primary

Addresses

Primary practice location

11797 South Fwy
Suite 226
Burleson, TX 76028-7026

Mailing address

11797 South Fwy
Suite 226
Burleson, TX 76028-7026
Phone (817) 293-9910

Other identifiers 2

IdentifierTypeStateIssuer
156304101MedicaidTX
00579UOtherTXMEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1912934241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11797 SOUTH FWY",
            "address_2": "SUITE 226",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287026",
            "telephone_number": "817-293-9910",
            "fax_number": "817-293-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11797 SOUTH FWY",
            "address_2": "SUITE 226",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287026",
            "telephone_number": "817-293-9910",
            "fax_number": "817-293-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLA M WILLIAMS, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ELLA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-293-9910",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "K2385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156304101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00579U",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.