Provider Demographics
NPI:1841298478
Name:WILLIAMS, JOSEPH JOHN (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:JOHN
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2325 DOUGHERTY FERRY RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63122-3356
Mailing Address - Country:US
Mailing Address - Phone:314-966-6480
Mailing Address - Fax:314-966-6416
Practice Address - Street 1:2325 DOUGHERTY FERRY RD
Practice Address - Street 2:SUITE 202
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63122-3356
Practice Address - Country:US
Practice Address - Phone:314-966-6480
Practice Address - Fax:314-966-6416
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-08
Last Update Date:2011-11-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO32176207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO009235OtherSSM EXCLUSIVE CHOICE
MO0900042OtherUNITED HEALTH CARE
MO2273874OtherAETNA
MO7924OtherGROUP HEALTH PLAN
200008457OtherRR MEDICARE
MO101381OtherHEALTHLINK
MO200883205Medicaid
MO22312OtherBLUE CROSS BLUE SHIELD
P-65360611OtherMULTIPLAN
MO0900042OtherUNITED HEALTH CARE
P-65360611OtherMULTIPLAN