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DR. JEREMY SHANNON WILLIAMS M.D. NPI 1619359304


NPI Information

NPI: 1619359304
Provider Name: DR. JEREMY SHANNON WILLIAMS, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3551 ROGER BROOKE DR
SAMMC, MCHE-MDX, INTERNAL MEDICINE RESIDENCY
JBSA FT SAM HOUSTON, TX
ZIP 78234
Phone: (210) 916-8176
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DR. Jeremy Shannon Williams, M.D. is a general practice in Jbsa Ft Sam Houston, TX with 9 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Jeremy Shannon Williams, M.D. NPI is 1619359304. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year:2015

The provider's business location address is:

3551 ROGER BROOKE DR
SAMMC, MCHE-MDX, INTERNAL MEDICINE RESIDENCY
JBSA FT SAM HOUSTON, TX
ZIP 78234-504
Phone: (210) 916-8176
Fax: (210) 292-7868

The NPI 1619359304 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 6/18/2015 and was last updated on 5/8/2017.


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
1208D00000XGeneral Practice0101262111VIRGINIAYes
2390200000XStudent in an Organized Health Care Education/Training ProgramNo

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.