NPIMap

Individual provider Active NPI

David Albert Williams, D.O.

  • Family Medicine Physician
  • Meadville, PA
National Provider Identifier
1154372662
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS013026 Issued in PA
Practice address
1015 Grove St
Meadville, PA 16335-2905
Phone
(814) 724-8024
Fax
(814) 337-8635
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS013026 PA Primary

Addresses

Primary practice location

1015 Grove St
Meadville, PA 16335-2905

Mailing address

600 Wesley Way
Meadville, PA 16335-9413
Phone (814) 724-8024

Other identifiers 1

IdentifierTypeStateIssuer
1016388770001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20060614000127 PA Practitioner - Family Practice 6002828902 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians

Practice addresses (Care Compare)

1012 Water St
Meadville, PA 16335-3468
Phone (814) 337-2345

600 Wesley Way
Meadville, PA 16335-9413
Phone (814) 724-8024

Hospital & facility affiliations

  • Vna Alliance Home health agency, Meadville, PA, CCN 397655
  • Gentiva II Hospice, Meadville, PA, CCN 391681
  • Hospice of Crawford County Inc Hospice, Meadville, PA, CCN 391540
  • Meadville Medical Center Hospital, Meadville, PA, CCN 390113
  • Upmc Hamot Hospital, Erie, PA, CCN 390063
  • Wesbury United Methodist Commu Nursing home, Meadville, PA, CCN 395292
  • Meadville Medical Ctr Tcu Nursing home, Meadville, PA, CCN 395894

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS013026PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meadville Medical Center CurrentSince Jul 1, 2024 Accepting new patients
David a. Williams, D.O., Inc. Family Medicine CurrentSince Jun 14, 2006 Accepting new patients
Wesbury United Methodist Community Past Accepting new patients
Meadville Medical Center Past Accepting new patients

Locations

1015 Grove St
Meadville, PA 16335
Phone (814) 337-5894

600 Wesley Way
Meadville, PA 16335
Phone (814) 332-4595

1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728

751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFBCAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/CFBCAA/Endpoint/CFBCAA

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cros Country Healthcare Staffing ServicesMeadville, PA, CCN 395292 Skilled nursing facility Adp of the SNF Jan 1, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 8

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1154372662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 WESLEY WAY",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163359413",
            "telephone_number": "814-724-8024",
            "fax_number": "814-337-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352905",
            "telephone_number": "814-724-8024",
            "fax_number": "814-337-8635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DAVID",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS013026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016388770001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.