Individual provider Active NPI

Debra Jean Williams, DPM PC

  • Podiatrist
  • Carthage, NY
National Provider Identifier
1174530810
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N0044661 Issued in NY
Practice address
720 State Street
Carthage, NY 13619
Phone
(315) 493-6949
Fax
(315) 493-6949
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N0044661 NY Primary

Addresses

Primary practice location

720 State Street
Carthage, NY 13619

Mailing address

720 State Street
Carthage, NY 13619
Phone (315) 493-6949

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110428000561 NY Practitioner - Podiatry 5496878654 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N0044661NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Carthage Area Hospital Inc CurrentSince Apr 4, 2018 Accepting new patients
Carthage Area Hospital Inc CurrentSince Apr 4, 2018 Accepting new patients
Carthage Area Hospital, Inc. CurrentSince Jan 3, 2026 Accepting new patients
Debra J Williams Podiatrist PC PastSince Apr 25, 2012 Accepting new patients
Carthage Area Hospital Inc. Past Accepting new patients

Locations

1001 West St
Carthage, NY 13619
Phone (315) 493-1000

3 Bridge St
Carthage, NY 13619
Phone (315) 493-3300

3 Bridge St
Ste 5
Carthage, NY 13619
Phone (315) 493-1340

Interoperability endpoints

  • Direct secure messaging: dwilliams@cahclinics.medentdirect.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1174530810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 STATE STREET",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "13619",
            "telephone_number": "315-493-6949",
            "fax_number": "315-493-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 STATE STREET",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "13619",
            "telephone_number": "315-493-6949",
            "fax_number": "315-493-6949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DEBRA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DPM PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N0044661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, NY

Sources for this page

Verify at the official NPI Registry.