Philip Copelain Williams Jr., M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

35044614 Issued in OH

Practice address

One Elizabeth Place
Suite 10a
Dayton, OH 45408

Phone

(937) 228-4156

Fax

(937) 228-0247

NPI assigned

Feb 14, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262563200000",
    "number": "1023082401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE ELIZABETH PLACE",
            "address_2": "SUITE 10A",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45408",
            "telephone_number": "937-228-4156",
            "fax_number": "937-228-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE ELIZABETH PLACE",
            "address_2": "SUITE 10A",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45408",
            "telephone_number": "937-228-4156",
            "fax_number": "937-228-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "PHILIP",
        "middle_name": "COPELAIN",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2010-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35044614",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35044614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0465741",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael McKinley Williams
• Michele M Williams, LISW-S (MSSA)
• Monique Williams
• Natalie Melissa Williams, D.O.
• Neal Tyree Williams Jr.
• Phyllis C Williams, RN
• Princess-Joy Williams
• Rachel Williams
• Robin Williams
• Robin Louise Williams, LPN

• Vascular Surgery Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Vascular Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.