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GARY W WILLIAMSON MD NPI 1851333850


NPI Information

NPI: 1851333850
Provider Name: GARY W WILLIAMSON, MD
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
800 E DAWSON ST
TYLER, TX
ZIP 75701
Phone: (903) 593-8441
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Gary W Williamson, MD is an emergency medicine in Tyler, TX. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Gary W Williamson, MD NPI is 1851333850. 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:

800 E DAWSON ST
TYLER, TX
ZIP 75701-036
Phone: (903) 593-8441

The NPI 1851333850 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 6/12/2006 and was last updated on 3/16/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency MedicineF2120TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10042EJOTHERTEXASBCBS
200340LMEDICARE PINTEXAS
3315974YNSXMEDICARE PINTEXAS
4TIN PLUS 044OTHERTEXASTRICARE WINNSBORO LOCATION
5139811721MEDICAIDTEXAS
675-2616977-001OTHERTEXASTRICARE
7139811714MEDICAIDTEXAS
8TIN PLUS 015OTHERTEXASTRICARE TYLER LOCATION
9TIN PLUS 005OTHERTEXASTRICARE
1075-2616977OTHERTEXASRAIL ROAD
118CU714OTHERTEXASBCBS
12139811723MEDICAIDTEXAS
13315974YMAFMEDICARE PINTEXAS
14080126648OTHERTEXASRAIL ROAD
1575-2616977-002OTHERTEXASTRICARE
16C23579MEDICARE UPINTEXAS
17139811724MEDICAIDTEXAS
18930088992MEDICARE PINTEXAS
1975-0818167-022OTHERTEXASTRICARE
208M5091OTHERTEXASBCBS
21139811722MEDICAIDTEXAS
228L0959MEDICARE OSCAR/CERTIFICATIONTEXAS
2375-0818167-048OTHERTEXASTRICARE
2475-2616977-028OTHERTEXASTRICARE
258L3837MEDICARE OSCAR/CERTIFICATIONTEXAS

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

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.