Gregory D Williams, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD019351E Issued in PA

Practice address

6353 Woodbine Ave
Philadelphia, PA 19151-2523

Phone

(215) 877-5128

Fax

(215) 878-4965

NPI assigned

Feb 2, 2006

Sex

Male

Sole proprietor

Yes

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1083686216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6353 WOODBINE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191512523",
            "telephone_number": "215-877-5128",
            "fax_number": "215-878-4965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6353 WOODBINE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191512523",
            "telephone_number": "215-877-5128",
            "fax_number": "215-878-4965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "GREGORY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD019351E",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD019351E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0611722005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evan Andrew Williams, PHARMD
• Faith Lydia Williams, P.T.
• Fiona Williams
• Gail Y Williams, RN,DNP, CRNP
• Graeme Robert Williams, MD, MBA
• Hillary Williams, LSW
• Imani Michaela Williams, MD
• Isabelle Lynn Williams, MD
• Jameela Williams, CRNP
• Jami Williams, LPC

• Internal Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.