MR. RANDAL E WILLIAMS P.A.-C NPI 1811966385

NPI Information

NPI: 1811966385
Provider Name: MR. RANDAL E WILLIAMS, P.A.-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
1001 S PERRY ST
SUITE: 101B
CASTLE ROCK, CO
ZIP 80104
Phone: (303) 688-2228
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MR. Randal E Williams, P.A.-C is a medical physician assistant in Castle Rock, CO with 24 years of experience. MR. Randal E Williams, P.A.-C NPI is 1811966385. 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:

1001 S PERRY ST
SUITE: 101B
CASTLE ROCK, CO
ZIP 80104-668
Phone: (303) 688-2228
Fax: (303) 663-0640

The NPI 1811966385 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Automated urinalysis test (HCPCS:81003)
X-ray of chest, 2 views (HCPCS:71046)

The enumeration date for this NPI number is 3/16/2006 and was last updated on 4/24/2014.

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	363AM0700X	Physician Assistant	Medical	15-00965	KANSAS	No
2	363AM0700X	Physician Assistant	Medical	PA2010-0073	NEW MEXICO	No
3	363AM0700X	Physician Assistant	Medical	PA.0001279	COLORADO	Yes

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	71577289	MEDICAID	NEW MEXICO
2	95256237	MEDICAID	COLORADO
3	200362810A	MEDICAID	KANSAS

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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