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.
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 |
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 |
Address | Phone | Organization |
---|---|---|
2420 W Nebraska Ave, Peoria, IL 61604-3112 |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
Street Address |
2420 W NEBRASKA AVE |
City | PEORIA |
State | IL |
Zip | 61604-3112 |
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 |
City | PEORIA |
Zip Code | 61604 |
Specialty | CARDIAC SURGERY |
City + Specialty | PEORIA + CARDIAC SURGERY |
Please comment or provide details below to improve the information on James B Williams.
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.