Jane D Williams, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G68304 Issued in CA

Practice address

1225 Central Ave
Ste 12
McKinleyville, CA 95519-4390

Phone

(707) 840-0758

Fax

(707) 840-9141

NPI assigned

Feb 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Jane Williams, M.D. Professional Corporation

  • Surgery Physician
  • McKinleyville, CA
  • NPI 1083756613
  NPD (past) Authorized official
• Redwood Osteopathy Inc

  • Neuromusculoskeletal Medicine & OMM Physician
  • McKinleyville, CA
  • NPI 1861769739
  NPD (past)

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1922070127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 994032",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960994032",
            "telephone_number": "530-241-0473",
            "fax_number": "530-241-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 CENTRAL AVE",
            "address_2": "STE 12",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955194390",
            "telephone_number": "707-840-0758",
            "fax_number": "707-840-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JANE",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G68304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G683040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny Weldon
• Sarah Wennerholm
• Erica Wheeler
• Logan White
• Robert Eugene White Jr.
• Patrick A Williams
• Amy A Williamson, ND
• Glorie Lorrie Williamson, RN
• Windhorse Licensed Clinical Social Workers, P.C.
• Lupine M Wread, LAC

• Surgery Physician in McKinleyville, CA
• Providers in McKinleyville, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.