Active NPI
Donald R Williams, MD
- Family Medicine Physician
- Cincinnati, OH
National Provider Identifier
1003835513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35040769W
- Practice address
- 473 Old State Route 74
Suite 4
Cincinnati, OH 45244-4238 - Phone
- (513) 528-1505
- Fax
- (513) 528-5982
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35040769W | OH | Primary |
Addresses
Primary practice location
473 Old State Route 74
Suite 4
Cincinnati, OH 45244-4238
Mailing address
473 Old State Route 74
Suite 4
Cincinnati, OH 45244-4238
Phone (513) 528-1505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0357911 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35040769W | OH | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410739200000",
"number": "1003835513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "473 OLD STATE ROUTE 74",
"address_2": "SUITE 4",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452444238",
"telephone_number": "513-528-1505",
"fax_number": "513-528-5982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "473 OLD STATE ROUTE 74",
"address_2": "SUITE 4",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452444238",
"telephone_number": "513-528-1505",
"fax_number": "513-528-5982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "DONALD",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2014-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35040769W",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0357911",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.