Active NPI
John Williamson, M.D.
- Pain Medicine Physician
- Huntsville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- J2414
- Practice address
- 133 Medical Park LN Ste B
Huntsville, TX 77340-4979 - Phone
- (936) 730-8833
- Fax
- (936) 730-8866
- NPI assigned
- Mar 29, 2006
- 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 |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | J2414 | TX | Primary |
Addresses
Primary practice location
133 Medical Park LN Ste B
Huntsville, TX 77340-4979
Mailing address
4400 FM 1061
Amarillo, TX 79124-4716
Other practice location 1
1020 Riverwood Ct Ste 200
Conroe, TX 77304-2974
Phone (936) 756-3444
Other practice location 2
1901 Medi Park
Suite 2002
Amarillo, TX 79106-2110
Phone (806) 353-4699
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141581201 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Pain Management
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
133 Medical Park LN
Suite B
Huntsville, TX 77340-4979
Phone (936) 730-8833
Hospital & facility affiliations
- Aspire Hospital
- Huntsville Memorial Hospital
- CHI St Lukes Health Memorial Livingston
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.29 of 100
- Quality
- 81.37
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J2414 | TX | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conroe Ambulatory Anesthesia PA | Current | Accepting new patients | |
| Stephen M. Sims, MD, PA | Current | Accepting new patients | |
| Stephen M. Sims, MD, PA | Pain Medicine | Current | Accepting new patients |
| Lone Star Anesthesia Consultants PLLC | Past | Accepting new patients |
Locations
4019 I 45 N
#150N
Conroe, TX 77304
Phone (936) 641-8181
4019 I 45 N
#150
Conroe, TX 77304
Phone (936) 641-8181
503 Medical Center Blvd
Ste 110
Conroe, TX 77304
Phone (936) 756-3444
1020 Riverwood Ct
Ste 200
Conroe, TX 77304
Phone (936) 703-5086
133 Medical Park Ln
Ste B
Huntsville, TX 77340
Phone (936) 730-8833
Interoperability endpoints
- https://api.platform.athenahealth.com/23958/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Pain Medicine Physician
- Huntsville, TX
- NPI 1235148172
-
- Anesthesiology Physician
- Conroe, TX
- NPI 1457482937
-
- Interventional Pain Medicine Physician
- Shenandoah, TX
- NPI 1154976025
-
- Anesthesiology Physician
- Amarillo, TX
- NPI 1619928280
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital
- Conroe, TX
- NPI 1093955296
-
- General Acute Care Hospital
- Conroe, TX
- NPI 1114340080
-
- General Acute Care Hospital
- Huntsville, TX
- NPI 1245878990
-
- Rural Acute Care Hospital
- Livingston, TX
- NPI 1689650616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576022400000",
"number": "1922069186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 FM 1061",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791244716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 MEDICAL PARK LN STE B",
"city": "HUNTSVILLE",
"state": "TX",
"postal_code": "773404979",
"telephone_number": "936-730-8833",
"fax_number": "936-730-8866"
}
],
"practiceLocations": [
{
"address_1": "1020 Riverwood Ct Ste 200",
"address_purpose": "LOCATION",
"city": "Conroe",
"state": "TX",
"postal_code": "773042974",
"country_code": "US",
"telephone_number": "936-756-3444",
"fax_number": "936-756-3452",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1901 Medi Park",
"address_2": "Suite 2002",
"address_purpose": "LOCATION",
"city": "Amarillo",
"state": "TX",
"postal_code": "791062110",
"country_code": "US",
"telephone_number": "806-353-4699",
"fax_number": "806-353-4551",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMSON",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-29",
"last_updated": "2019-12-11",
"certification_date": "2019-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "TX",
"license": "J2414",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "141581201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.