Individual provider Active NPI

David C Williams, PA

  • Physician Assistant
  • Hudson, NY
National Provider Identifier
1114002045
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
003842 Issued in NY
Practice address
71 Prospect Ave
Hudson, NY 12534-2907
Phone
(518) 828-7601
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 003842 NY Primary

Addresses

Primary practice location

71 Prospect Ave
Hudson, NY 12534-2907

Mailing address

802 Columbia St
Suite 2
Hudson, NY 12534-2306
Phone (518) 751-1016

Other identifiers 1

IdentifierTypeStateIssuer
01554892MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040624000207 NY Practitioner - Physician Assistant 9739164591 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ellenville Emergency Medical Associates PLLCGroup PAC ID 9436478658, 8 clinicians

Practice addresses (Care Compare)

10 Healthy Way
Ellenville, NY 12428-5612
Phone (954) 939-5000

Hospital & facility affiliations

  • Ellenville Regional Hospital Hospital, Ellenville, NY, CCN 331310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
003842NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Jul 24, 2014 Accepting new patients
Albany Medical College CurrentSince Jul 24, 2014 Accepting new patients
St Marys Healthcare CurrentSince Nov 10, 2009 Accepting new patients
St. Mary'S Healthcare CurrentSince Nov 10, 2009 Accepting new patients
Albany Medical College CurrentSince Aug 28, 2015 Accepting new patients
Adirondack Emergency Medicine, PC Past Accepting new patients
Eos Medical Group PC Past Accepting new patients
Northeast Emergency Medical Associates, PC Past Accepting new patients
Columbia Emergency Services, PC Past Accepting new patients
Atlantic Physician Services of Maryland, PC Physician Assistant Past Accepting new patients

Locations

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

380 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 841-7415

71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773

396 Broadway
Kingston, NY 12401
Phone (845) 331-3131

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

115 Saratoga Rd
Ste 110
Schenectady, NY 12302
Phone (518) 264-2900

11835 Route 9W
West Coxsackie, NY 12192
Phone (518) 731-9000

Interoperability endpoints

  • Direct secure messaging: david.williams@ghuc.eclinicaldirectplus.com
  • Direct secure messaging: david.williams.2@13746.direct.athenahealth.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114002045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 COLUMBIA ST",
            "address_2": "SUITE 2",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125342306",
            "telephone_number": "518-751-1016",
            "fax_number": "518-751-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 PROSPECT AVE",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125342907",
            "telephone_number": "518-828-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DAVID",
        "middle_name": "C",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "003842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01554892",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, NY

Sources for this page

Verify at the official NPI Registry.