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

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: September 06, 2026.

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
Sole ProprietorNo
Enumeration DateJune 28, 2012
NPI 1225392848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
3635 VISTA AVE
SAINT LOUIS, MO 63110
Internal Medicine
3635 VISTA AVE
SAINT LOUIS, MO 63110
Internal Medicine
3635 VISTA AVE, 7TH FLOOR DESLOGE TOWER
SAINT LOUIS, MO 63110
Registered Nurse (Emergency)
3635 VISTA AVE
SAINT LOUIS, MO 63110
Pharmacist (Oncology)
3635 VISTA AVE
SAINT LOUIS, MO 63110
General Acute Care Hospital
3635 VISTA AVE
SAINT LOUIS, MO 63110
Pathology (Anatomic Pathology & Clinical Pathology)
3635 VISTA AVE, SAINT LOUIS UNIVERSITY PATHOLOGY SERVICES
SAINT LOUIS, MO 63110
Radiology (Diagnostic Radiology)
3635 VISTA AVE
SAINT LOUIS, MO 63110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Williams's NPI number?

The NPI number for Peter Williams is 1225392848. It was assigned to this individual provider in the NPPES registry on June 28, 2012.

Where is Peter Williams located?

Peter Williams practices at 3635 Vista Ave, Saint Louis, MO 63110. The listed phone number is (314) 577-8782.

What is Peter Williams's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Peter Williams enrolled in Medicare?

Yes. Peter Williams is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Peter Williams was last updated on June 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.