Shelly L Williams, DO PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

5101009366 Issued in MI

Legal business name

SHELLY L WILLIAMS, DO PLLC

Practice address

318 Center St
Muskegon, MI 49445-3113

Phone

(231) 719-0798

Fax

(231) 744-8570

NPI assigned

Aug 18, 2008

Organization subpart

No

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

Authorized official

Name

Shelly L Williams, DO

Title

Physician/Owner

Phone

(231) 719-0798

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14700/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1154577419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 CENTER ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494453113",
            "telephone_number": "231-719-0798",
            "fax_number": "231-744-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 CENTER ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494453113",
            "telephone_number": "231-719-0798",
            "fax_number": "231-744-8570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLY L WILLIAMS, DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "231-719-0798",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "5101009366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL NUMBER",
            "identifier": "P01260001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4736780",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1205859956",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Shaw, MD
• Helen Shear
• Patricia Shear, COTA/L
• Denise Lynn Sheffer, LLPC
• Denise Marie Sheffer
• Andersen Shemme, MD
• Lora L Shepard
• Timesha Ann Shepherd
• Trevor James-Albert Sherman, MD
• Keishauna Sherrod

• Primary Care Clinic/Center in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.