Provider Demographics
NPI:1043290620
Name:WILLIAMS, JAMES L II (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:L
Last Name:WILLIAMS
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:121 SAINT LUKES CENTER DR
Mailing Address - Street 2:STE 500
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-3509
Mailing Address - Country:US
Mailing Address - Phone:314-390-6789
Mailing Address - Fax:314-469-4797
Practice Address - Street 1:121 SAINT LUKES CENTER DR
Practice Address - Street 2:STE 500
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-3509
Practice Address - Country:US
Practice Address - Phone:314-390-6789
Practice Address - Fax:314-469-4797
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-19
Last Update Date:2022-05-03
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Provider Licenses
StateLicense IDTaxonomies
MO2005033056208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO202424901Medicaid
P00324188OtherMEDICARE,RAIL ROAD
P00324188OtherMEDICARE,RAIL ROAD
MOH35630Medicare UPIN