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Deactivated NPI 1477695039 Deactivated / Inactive NPI Male Practitioner

Rob Kendall Williams , PA-C

Physician Assistant • Mount Shasta, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Rob Williams has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 12, 2007
NPI Deactivation Date August 15, 2017
Total Practice Duration ~10 Years of Practice (2007 – 2017)

Professional Overview & Biography Verified Profile Summary

Rob Williams, PA-C was a registered Physician Assistant practicing in Mount Shasta, CA. Throughout an active medical career spanning 10 years, Rob Williams provided care at the practice location at 635 LASSEN LN until profile deactivation on 2017-08-15.

Practice Location & Contact Primary Location

Practice Address

635 Lassen Ln

Mount Shasta, CA 960679003

Telephone 5308593916
Associated Practice Facility / Clinic
🏢 Peter Grant Md Facility NPI 1841483732

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Mount Shasta, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
3 Specialists

Practicing in Mount Shasta, CA (14617 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA PA 12588

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Todd Guthrie , MD

Orthopaedic Surgery

NPI 1871555334

Doctor of Medicine (M.D.)

NPI 1972504652

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 15, 2017

Record deactivated on August 15, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 635 LASSEN LN, MOUNT SHASTA, CA 960679003 (Tel: 5308593916)

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Updated Business Mailing Address July 08, 2007

Registered at 16726 GREENWOOD LN, WEED, CA 960949451 (Tel: 5308593916)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ROB WILLIAMS, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #PA 12588 in CA)

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Initial NPI Registration & Enumeration February 12, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477695039
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 12, 2007
Last Update: July 08, 2007
Deactivation Date: August 15, 2017

Mailing Address

16726 Greenwood Ln

Weed, CA 960949451

Phone: 5308593916

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.