Organization Active NPI

Tami O Williams MD LLC

  • Obstetrics & Gynecology Physician
  • Cape Girardeau, MO
National Provider Identifier
1942408430
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2000156016 Issued in MO
Legal business name
TAMI O WILLIAMS MD LLC
Practice address
3262 Lexington Ave
Cape Girardeau, MO 63701-2609
Phone
(573) 334-0515
Fax
(573) 334-1120
NPI assigned
Jul 5, 2007
Last updated
Oct 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Dr. Tami O Williams, MDNPI 1144231945
Title
Owner
Phone
(573) 334-0515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2000156016 MO Primary

Addresses

Primary practice location

3262 Lexington Ave
Cape Girardeau, MO 63701-2609

Mailing address

PO Box 2076
Cape Girardeau, MO 63702-2076
Phone (573) 334-0515

Other identifiers 3

IdentifierTypeStateIssuer
1863120OtherMOCOVENTRY FIRST HEALTH
434499OtherMOHEALTHLINK PROVIDER #
128569OtherMOBLUE CROSS PROVIDER #

National Provider Directory

National Provider Directory

Locations

2911 Breckenridge Dr
Cape Girardeau, MO 63701
Phone (573) 334-0515

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1942408430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2076",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637022076",
            "telephone_number": "573-334-0515",
            "fax_number": "573-334-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3262 LEXINGTON AVE",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637012609",
            "telephone_number": "573-334-0515",
            "fax_number": "573-334-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMI O WILLIAMS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TAMI",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-334-0515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2000156016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY FIRST HEALTH",
            "identifier": "1863120",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK PROVIDER #",
            "identifier": "434499",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "128569",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.