SCOTT SHIELDS WILLIAMS MD NPI 1407816341

NPI Information

NPI: 1407816341
Provider Name: SCOTT SHIELDS WILLIAMS, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

PECOS Registration: Yes

Address:
1520 S DOBSON RD
SUITE 304
MESA, AZ
ZIP 85202
Phone: (480) 899-0767
Get Directions

Scott Shields Williams, MD is a nephrology internal medicine in Mesa, AZ with 25 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Scott Shields Williams, MD NPI is 1407816341. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1520 S DOBSON RD
SUITE 304
MESA, AZ
ZIP 85202
Phone: (480) 899-0767
Fax: (480) 899-1145

The NPI 1407816341 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/24/2006 and was last updated on 6/26/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology	52243	ARIZONA	Yes
2	2080P0210X	Pediatrics	Pediatric Nephrology	MD.203262	LOUISIANA	No
3	2080P0210X	Pediatrics	Pediatric Nephrology	M0971	TEXAS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	02822278	MEDICAID	MISSISSIPPI
2	173607601	MEDICAID	TEXAS
3	1755095	MEDICAID	LOUISIANA
4	148504	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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