Active NPI
Larry Ross Williams, M.D.
- Specialist
- St Petersburg, FL
National Provider Identifier
1942264114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME0047125
- Practice address
- 995 16TH St N
St Petersburg, FL 33705-1210 - Phone
- (727) 894-4738
- Fax
- (727) 823-6710
- NPI assigned
- Apr 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | ME0047125 | FL | Primary |
Addresses
Primary practice location
995 16TH St N
St Petersburg, FL 33705-1210
Mailing address
995 16TH St N
St Petersburg, FL 33705-1210
Phone (727) 894-4738
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043000500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 82.43 of 100
- Quality
- 66.74
- Promoting interoperability
- 87
- Improvement activities
- 40
- Cost
- 68.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa Bay Surgical Group, LLP | Current | Accepting new patients | |
| Tampa Bay Surgical Group LLP | Past | Accepting new patients | |
| Larry R. Williams, M.D., P.a. | Specialist | Past | Accepting new patients |
Locations
2039 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 584-7666
995 16th St N
St Petersburg, FL 33705
Phone (727) 822-3435
606 S Boulevard
Tampa, FL 33606
Phone (813) 254-3016
Interoperability endpoints
- larrywilliams@tbsg.allscriptsdirect.net
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 and National Provider Directory roles.
-
- Surgery Physician
- Tampa, FL
- NPI 1831308949
-
- Specialist
- St Petersburg, FL
- NPI 1134256217
-
- Surgery Physician
- Tampa, FL
- NPI 1083085328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455580800000",
"number": "1942264114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "995 16TH ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337051210",
"telephone_number": "727-894-4738",
"fax_number": "727-823-6710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "995 16TH ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337051210",
"telephone_number": "727-894-4738",
"fax_number": "727-823-6710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "LARRY",
"middle_name": "ROSS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2016-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME0047125",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "043000500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.