NPIMap

Individual provider Active NPI

Amanda Kay Williams, DO

  • Geriatric Medicine (Family Medicine) Physician
  • London, OH
National Provider Identifier
1104147669
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
34011467 Issued in OH
Practice address
55 Park Ave
Ste 275
London, OH 43140-1170
Phone
(740) 845-7500
NPI assigned
Jun 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 2012-01741 NC
Geriatric Medicine (Family Medicine) Physician 207QG0300X 34011467 OH Primary

Addresses

Primary practice location

55 Park Ave
Ste 275
London, OH 43140-1170

Mailing address

55 Park Ave
Ste 275
London, OH 43140-1170
Phone (740) 845-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141219000614 OH Practitioner - Family Practice 9436396512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Group of Southeastern Ohio IncGroup PAC ID 8628232469, 61 clinicians

Practice addresses (Care Compare)

200 N Maysville Ave
Zanesville, OH 43701-6172
Phone (740) 455-3304

Hospital & facility affiliations

  • Summit Orthopaedic Home Care Home health agency, Grandview Heights, OH, CCN 368154
  • Genesis Home Care Home health agency, Zanesville, OH, CCN 367114
  • Hospice of Central Ohio Hospice, Newark, OH, CCN 361525
  • Interim Healthcare Hospice of Coshocton Hospice, Zanesville, OH, CCN 361684
  • Genesis Hospital Hospital, Zanesville, OH, CCN 360039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34011467OHMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Group of Southeastern Ohio Inc Geriatric Medicine CurrentSince Jan 8, 2024 Accepting new patients
Medical Home Primary Care Center Current Accepting new patients
Allergy and Asthma Center, Inc Past Accepting new patients

Locations

3620 Court Dr
Ste K
Zanesville, OH 43701
Phone (740) 454-1248

200 N Maysville Ave
Zanesville, OH 43701
Phone (740) 455-3112

Interoperability endpoints

  • Direct secure messaging: amanda.williams.p18@direct.pgseo.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1104147669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 PARK AVE",
            "address_2": "STE 275",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431401170",
            "telephone_number": "740-845-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 PARK AVE",
            "address_2": "STE 275",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431401170",
            "telephone_number": "740-845-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "AMANDA",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-18",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NC",
            "license": "2012-01741",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "34011467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in London, OH

Sources for this page

Verify at the official NPI Registry.