Provider Demographics
NPI:1952380719
Name:WILLIAMS, JAMES JOSEPH (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:JOSEPH
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6500 W 10TH PL
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80214-1902
Mailing Address - Country:US
Mailing Address - Phone:303-202-0413
Mailing Address - Fax:
Practice Address - Street 1:6500 W 10TH PL
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80214-1902
Practice Address - Country:US
Practice Address - Phone:303-202-0413
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20368207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO3003385OtherCIGNA
CO4138239OtherAETNA
CO841365302007OtherRKY MTN HMO
CTWI103018OtherANTHEM BCBS
CT84136530202OtherPACIFICARE PPO
CO84136530207OtherPACIFICARE
CO01203686Medicaid
CO84136530207OtherPACIFICARE
CO841365302007OtherRKY MTN HMO