Cameron Seymour Williams, MD

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

167155-1205 Issued in UT

Practice address

300 N Hospital Dr
Price, UT 84501-4218

Phone

(435) 637-4864

Fax

(435) 636-4896

NPI assigned

Sep 29, 2005

Last updated

Aug 30, 2013By the provider in NPPES

Sex

Male

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 2

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fhi8636@yourcarecommunity.org

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Carbon Medical Service Association Incorporated

  • Federally Qualified Health Center (FQHC)
  • Price, UT
  • NPI 1770173908

  Corporate Officer

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carbon Medical Service Association, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Sunnyside, UT
  • NPI 1497717821
  Medicare reassignment NPD
• Carbon Medical Service Association Incorporated

  • Federally Qualified Health Center (FQHC)
  • Price, UT
  • NPI 1770173908
  NPD
• Strata Medical LLC

  dba BullFrog Urgent Care

  • Student Health Clinic/Center
  • Lake Powell, UT
  • NPI 1699760140
  NPD (past)

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377820800000",
    "number": "1952398463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1276",
            "city": "SALEM",
            "state": "UT",
            "postal_code": "846531276",
            "telephone_number": "801-423-3306",
            "fax_number": "801-423-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N HOSPITAL DR",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845014218",
            "telephone_number": "435-637-4864",
            "fax_number": "435-636-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CAMERON",
        "middle_name": "SEYMOUR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2013-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "UT",
            "license": "167155-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "167155-1205",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06887",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candice Jean Wilcox
• Chantel Wilcox
• Amber Wilde
• Rachel Wilkinson
• Darian Wilks, PTA
• Christopher Williams
• Crystal Annette Williams
• Lorene E Williams
• Willow Springs Estates (Beehive of Price)
• McKenzie Sue Willson, COTA/L

• Emergency Medical Services (Emergency Medicine) Physician in Price, UT
• Providers in Price, UT by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.