PETER WILLIAMS III M.D.
NPI 1225392848
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since June 28, 2012PECOS Enrolled

3635 VISTA AVE, SAINT LOUIS, MO 63110(314) 577-8782 Get Directions Write a Review

NPPES record last updated: June 28, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Peter Williams Iii M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETER WILLIAMS III M.D. (NPI 1225392848) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225392848

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NamePETER WILLIAMS IIICredential: M.D.

Location Address3635 VISTA AVESaint Louis, MO 63110-2539

Mailing Address11011 Sandistan Manor CtSaint Louis, MO 63146-5588

Phone(314) 577-8782

Sole ProprietorNo

Enumeration DateJune 28, 2012

✔ NPI 1225392848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3635 VISTA AVE, Saint Louis, MO 63110

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter Williams Iii M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.