MEDICARE: DR. JOSEPH JOHN WILLIAMS MD

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	207X00000X	Orthopaedic Surgery Physician	32176	MO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	200008457	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	009235	OTHER	MO	SSM EXCLUSIVE CHOICE
2	0900042	OTHER	MO	UNITED HEALTH CARE
3	2273874	OTHER	MO	AETNA
4	7924	OTHER	MO	GROUP HEALTH PLAN
6	101381	OTHER	MO	HEALTHLINK
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	22312	OTHER	MO	BLUE CROSS BLUE SHIELD
9	P-65360611	OTHER		MULTIPLAN

General Provider Information

NPI Number	:	1841298478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH JOHN WILLIAMS MD

Provider Business Mailing Address
First Line	:	2325 DOUGHERTY FERRY RD
Second Line	:	SUITE 202
City	:	SAINT LOUIS
State	:	MO
Zip	:	63122-3356
Country	:	US
Telephone Number	:	314-966-6480
Fax Number	:	314-966-6416

Provider Business Practice Location Address
First Line	:	2325 DOUGHERTY FERRY RD
Second Line	:	SUITE 202
City	:	SAINT LOUIS
State	:	MO
Zip	:	63122-3356
Country	:	US
Telephone Number	:	314-966-6480
Fax Number	:	314-966-6416

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

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	11/01/2011

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Directions to “ DR. JOSEPH JOHN WILLIAMS MD” Practice Location

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