Active NPI
Julian Mark Williams, CCP
- Perfusionist
- Salem, OR
National Provider Identifier
1982008983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Perfusionist
- Practice address
- 665 Winter St SE
Salem, OR 97301-3934 - Phone
- (503) 814-2176
- NPI assigned
- Oct 20, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Perfusionist | 242T00000X | Primary |
Addresses
Primary practice location
665 Winter St SE
Salem, OR 97301-3934
Mailing address
3100 West End Avenue Suite 800
One American Center
Nashville, TN 37203
Phone (800) 345-4565
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413763200000",
"number": "1982008983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 WEST END AVENUE SUITE 800",
"address_2": "ONE AMERICAN CENTER",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "37203",
"telephone_number": "800-345-4565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "665 WINTER ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973013934",
"telephone_number": "503-814-2176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JULIAN",
"middle_name": "MARK",
"name_prefix": "Mr.",
"credential": "CCP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-20",
"last_updated": "2014-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "242T00000X",
"taxonomy_group": "",
"desc": "Perfusionist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.