MEDICARE: DR. JAMES H WILLIAMS MD PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LC0200X	Critical Care Medicine (Anesthesiology) Physician	219274	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	468983	OTHER	MA	TUFTS HEALTH PLAN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	J27130	OTHER	MA	BCBS MA

General Provider Information

NPI Number	:	1740261866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES H WILLIAMS MD PHD

Provider Business Mailing Address
First Line	:	PO BOX 271647
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84127-1647
Country	:	US
Telephone Number	:	919-966-5136
Fax Number	:	984-974-4873

Provider Business Practice Location Address
First Line	:	N2198 UNC HOSPITALS
Second Line	:	CB# 7010 DEPARTMENT OF ANESTHESIOLOGY,
City	:	CHAPEL HILL
State	:	NC
Zip	:	27599-7010
Country	:	US
Telephone Number	:	919-966-5136
Fax Number	:	984-974-4873

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2005
Last Update Date	:	10/07/2016

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