Individual provider Active NPI

Ruth L Williams, PA-C

  • Physician Assistant
  • Saint Louis, MO
National Provider Identifier
1952745903
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2022013795 Issued in MO
Practice address
625 S New Ballas Rd
Saint Louis, MO 63141-8240
Phone
(314) 251-0175
NPI assigned
Apr 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1774 NE
Medical Physician Assistant 363AM0700X 085004642 IL
Physician Assistant 363A00000X 2022013795 MO Primary

Addresses

Primary practice location

625 S New Ballas Rd
Saint Louis, MO 63141-8240

Mailing address

625 S New Ballas Rd
Saint Louis, MO 63141-8240
Phone (314) 251-0175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140612002123 NE Practitioner - Physician Assistant 1850531633 Reassigns benefits to 1 organization
I20230718003346 MO Practitioner - Physician Assistant 1850531633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Hospitals East CommunitiesGroup PAC ID 1658276811, 92 clinicians

Practice addresses (Care Compare)

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (636) 251-6000

615 S New Ballas Rd Administration B
St Louis, MO 63141-8221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2022013795MOMDPhysician Assistant
085004642ILMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic CurrentSince Feb 1, 2015 Accepting new patients
Mercy Hospitals East Communities CurrentSince Mar 17, 2024 Accepting new patients
Alegent Creighton Clinic CurrentSince Feb 1, 2015 Accepting new patients
Mercy Hospitals East Communities CurrentSince Mar 17, 2024 Accepting new patients

Locations

2771 Solution Ctr
Chicago, IL 60677

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

625 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-0175

607 S New Ballas Rd
Ste 2300
Saint Louis, MO 63141
Phone (314) 251-6394

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

3410 N 156th St
Omaha, NE 68116
Phone (402) 493-0390

5005 S 153rd St
Ste 100
Omaha, NE 68137
Phone (402) 614-1258

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.

NPI Registry JSON

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1952745903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 S NEW BALLAS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418240",
            "telephone_number": "314-251-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S NEW BALLAS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418240",
            "telephone_number": "314-251-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RUTH",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-22",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "1774",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085004642",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2022013795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.