Travis G Williams, DO
Internal Medicine, Medical Oncology in Meridian, ID. Individual provider (NPI-1).
NPI number1043461817
StatusActive
Last updated in NPPESJun 8, 2016
Details
- NPI
- 1043461817
- Entity type
- Individual (NPI-1)
- Name
- Travis G Williams
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 9, 2008
- Last updated
- Jun 8, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - HEMATOLOGY/ONCOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RX0202X | Internal Medicine, Medical Oncology | O-0785 | ID | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | TL2972 | CO | |
| 207RH0003X | Internal Medicine, Hematology & Oncology | 0535122 | KS | |
| 207RH0003X | Internal Medicine, Hematology & Oncology | O-0785 | ID |
Practice location
520 S Eagle RdMeridian, ID 83642-6351
Phone 208-706-5651
Mailing address
190 E Bannock StBoise, ID 83712-6241
Phone 208-381-2222
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