James B Williams


Address: 2420 W Nebraska Ave, Peoria, IL 61604-3112

James B Williams (NPI# 1265433882, PAC ID# 5092603001) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIAC SURGERY.

Physician Overview

Nation Provider ID (NPI) 1265433882
PAC ID by PECOS 5092603001
Professional Enrollment ID I20040513001023
Full Name James B Williams
Address 2420 W Nebraska Ave
Peoria
IL 61604-3112
Gender M
Credential MD
Medical School BAYLOR COLLEGE OF MEDICINE
Graduation Year 1975
Primary Specialty CARDIAC SURGERY
Secondary Specialties VASCULAR SURGERY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140234 ILLINOIS VALLEY COMMUNITY HOSPITAL
141337 PERRY MEMORIAL HOSPITAL
140209 METHODIST MEDICAL CENTER OF ILLINOIS
140013 PROCTOR HOSPITAL
140110 OTTAWA REGIONAL HOSPITAL DBA OSF SAINT ELIZABETH MDL CTR

Other Locations

Address Phone Organization
2420 W Nebraska Ave, Peoria, IL 61604-3112

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 2420 W NEBRASKA AVE
City PEORIA
State IL
Zip 61604-3112

Physicians in the same zip code

Name Specialty Organization Address
Darren J Conklin Family Medicine Iowa Physicians Clinic Medical Foundation 3335 N Sterling Ave, Peoria, IL 61604-1837
Andrew Cusack Family Medicine Iowa Physicians Clinic Medical Foundation 3335 N Sterling Ave, Peoria, IL 61604-1837
Julie A Driscoll Nurse Practitioner Iowa Physicians Clinic Medical Foundation 3335 N Sterling Ave, Peoria, IL 61604-1837
Christina S Chen Milhone Pediatric Medicine Osf Multi-specialty Group 2806 N Knoxville Ave, Peoria, IL 61604-2870
James M Dunneback Pediatric Medicine Osf Multi-specialty Group 2806 N Knoxville Ave, Peoria, IL 61604-2870
Kathleen W Smith Nurse Practitioner Prairie Bleeding and Clotting Center 2806 N Knoxville Ave, Peoria, IL 61604-2870
Ronald J Suarez Optometry 6701 W Plank Rd, Peoria, IL 61604-5242
Thomas E Anderson Optometry 6701 W Plank Rd, Peoria, IL 61604-5242

Competitor

Search similar physicians

City PEORIA
Zip Code 61604
Specialty CARDIAC SURGERY
City + Specialty PEORIA + CARDIAC SURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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