Richard Malcolm Williams, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

26165 Issued in AZ

Practice address

10455 Emma LN NW
Rapid City, MI 49676-8608

Phone

(360) 656-6396

Fax

(231) 346-6255

NPI assigned

May 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 9

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX, MI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mobile Images Acquisition, LLC

  • Sonography Radiologic Technologist
  • Chattanooga, TN
  • NPI 1245471614
  NPD
• Sono Care of East Texas LLC

  • Radiology Clinic/Center
  • Tyler, TX
  • NPI 1265761506
  NPD
• Sonogenic Ultrasound Services, Inc.

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Lewisville, TX
  • NPI 1790810091
  NPD
• Pdi Health PA LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Reading, PA
  • NPI 1881217156
  NPD (past)
• Pdihealth MD LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Columbia, MD
  • NPI 1801434907
  NPD (past)
• Physician'S Mobile X-Ray, Inc.

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Harrisburg, PA
  • NPI 1316083595
  NPD (past)
• Preventive Diagnostics Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Columbus, OH
  • NPI 1316254857
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1962450635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10455 EMMA LN NW",
            "city": "RAPID CITY",
            "state": "MI",
            "postal_code": "496768608",
            "telephone_number": "360-656-6396",
            "fax_number": "231-346-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10455 EMMA LN NW",
            "city": "RAPID CITY",
            "state": "MI",
            "postal_code": "496768608",
            "telephone_number": "360-656-6396",
            "fax_number": "231-346-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RICHARD",
        "middle_name": "MALCOLM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "TM00496",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01069024A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "2406",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD60668713",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101242773",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036051496",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD441846",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "26165",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0082180",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "501842",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1Z7105",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0831550",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rick Adam Schuster, PT, DPT
• Casey Lynn Smith, FNP-C
• Kristina Lee Spencer-Nemec, LPC
• Wellness Family Counseling, PLLC
• Rebecca Sue Williams, PT, DPT, MBA

• Diagnostic Radiology Physician in Rapid City, MI
• Providers in Rapid City, MI by specialty
• Diagnostic Radiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.