Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Robert J Williams , LAC

Acupuncturist β€’ Ketchum, ID

Active NPI 1679796080 Individual Practitioner Male Practitioner
Practice location in NPPES

660 2nd Ave S, Suite 2a
Ketchum, ID 833406663

Call 5039561747 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

660 2nd Ave S
Suite 2a

Ketchum, ID 833406663

Telephone 5039561747
Organization at the Same NPPES Address or Phone
Anthony Maisin Buoncristiani, Md Facility NPI 1497774772

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Ketchum and Idaho

5 active clinicians are listed under Acupuncturist with a practice address in Ketchum, ID (116 in Idaho).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-08-16
Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

License # reported to NPPES None AC01066

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Idaho State Medical Licensing Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1841246279

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location August 20, 2024

Registered at 660 2ND AVE S, SUITE 2A, KETCHUM, ID 833406663 (Tel: 5039561747)

πŸ“
Updated Business Mailing Address August 20, 2024

Registered at PO BOX 393, KETCHUM, ID 833400361 (Tel: 5039561747)

βœ…
NPI Profile Active July 19, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 19, 2012

Registered at 270 NE 181ST AVE, PORTLAND, OR 972306663 (Tel: 5039561747)

πŸ“
Business Mailing Address (Initial Record) July 19, 2012

Registered at 7822 SE HAWTHORNE BLVD, PORTLAND, OR 972153644 (Tel: 5039561747)

πŸ‘€
Provider Name / Credentials (Initial Record) July 19, 2012

Recorded as ROBERT WILLIAMS, L.AC.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2012

Acupuncturist (license number reported to NPPES: None AC01066)

🟒
Initial NPI Registration & Enumeration April 11, 2007

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1679796080
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2007
Last Update: August 20, 2024
Sole Proprietor: Yes

Mailing Address

Po Box 393

Ketchum, ID 833400361

Phone: 5039561747

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.