Williams Primary Care PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD420614 Issued in PA

Legal business name

WILLIAMS PRIMARY CARE PC

Practice address

71 Hollowcrest Drive
Suite 3
Tunkhannock, PA 18657

Phone

(570) 836-4705

NPI assigned

Dec 22, 2006

Last updated

Oct 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Williams, M.DNPI 1609869072

Title

Owner

Phone

(570) 836-4705

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel C Williams, MD

  • Internal Medicine Physician
  • Tunkhannock, PA
  • NPI 1609869072
  Medicare reassignment NPD Authorized official
• Laurie T Miller, PA-C

  • Physician Assistant
  • Tunkhannock, PA
  • NPI 1164616132
  Medicare reassignment
• Meade T Palmer, MD

  • Surgery Physician
  • Tunkhannock, PA
  • NPI 1598759995
  NPD (past)

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1104981018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 HOLLOWCREST DRIVE",
            "address_2": "SUITE 3",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "18657",
            "telephone_number": "570-836-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 HOLLOWCREST DRIVE",
            "address_2": "SUITE 3",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "18657",
            "telephone_number": "570-836-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS PRIMARY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-836-4705",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD420614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001972184",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gehred D Wetzel, DO
• Chantal Whiteduck, M.S., CF-SLP
• Charles P Whitling, O.D.
• Wilkes Barre Behavioral Hospital Company LLC (Community Counseling Services of NEPA)
• Wilkes Barre Behavioral Hospital Company LLC (Community Counseling Service of NEPA)
• Daniel C Williams, MD
• Renee S. Winter-Bertsch, R.D.
• Wyoming County Special Needs Association
• Mary Alexis R. Yang, MD
• Jessica Ann Yerke

• Internal Medicine Physician in Tunkhannock, PA
• Providers in Tunkhannock, 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 Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.