Individual provider Active NPI

Emily Williams, M.D.

  • Obstetrics & Gynecology Physician
  • Amherst, NY
National Provider Identifier
1174563191
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
231305 Issued in NY
Practice address
4575 Main St
Amherst, NY 14226-4567
Phone
(716) 633-4575
Fax
(716) 633-4576
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 231305 NY Primary

Addresses

Primary practice location

4575 Main St
Amherst, NY 14226-4567

Mailing address

4575 Main St
Amherst, NY 14226-4567
Phone (716) 633-4575

Other identifiers 8

IdentifierTypeStateIssuer
02775235MedicaidNY
060918000005OtherNYFIDELIS CARE
188440CKOtherNYPREFERRED CARE
0135123OtherNYGHI
000528631001OtherNYBCBS
0713456OtherNYINDEPENDENT HEALTH
00027638701OtherNYUNIVERA
455331OtherNYWELLCARE

Other names 1

  • Emily Fleming Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060727000024 NY Practitioner - Obstetrics/Gynecology 0547273211 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
State University of New York at Buffalo School of Medicine, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Buffalo OBGYN LLPGroup PAC ID 4688798259, 8 clinicians

Practice addresses (Care Compare)

4575 Main St
Suite 1
Amherst, NY 14226-4567
Phone (716) 633-4575

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
231305NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sisters of Charity Hospital of Buffalo New York CurrentSince May 1, 2010 Accepting new patients
Delta OB-GYN PLLC Obstetrics & Gynecology PastSince Jun 1, 2008 Accepting new patients
Evergreen Women'S Health Group, LLP Obstetrics & Gynecology Past Accepting new patients

Locations

2157 Main St
#H
Buffalo, NY 14214
Phone (716) 862-1501

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

Interoperability endpoints

  • Direct secure messaging: emily.williams.2@12523.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1174563191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 MAIN ST",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264567",
            "telephone_number": "716-633-4575",
            "fax_number": "716-633-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 MAIN ST",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264567",
            "telephone_number": "716-633-4575",
            "fax_number": "716-633-4576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "EMILY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "231305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02775235",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS CARE",
            "identifier": "060918000005",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "188440CK",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0135123",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000528631001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "0713456",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00027638701",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "455331",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "FLEMING",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.