David D Williams, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

212294 Issued in NY

Practice address

2212 Penfield Rd
Suite 100
Penfield, NY 14526-1756

Phone

(585) 598-8505

Fax

(585) 598-8122

NPI assigned

Apr 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1194782722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WALNUT ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148506297",
            "telephone_number": "607-287-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 PENFIELD RD",
            "address_2": "SUITE 100",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261756",
            "telephone_number": "585-598-8505",
            "fax_number": "585-598-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DAVID",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "212294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01988247",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean Whelen
• Lisa Marie White, LPN
• Andrea Casal Caetano Wiktorski, LPN
• James Zhi Kang Willard
• Susan Joyce Willer, RN
• Elizabeth F Williams, LMHC
• Mary M Wilsch, M.D.
• Chawanna Nicole Wilson
• Jennifer Wilson, RN
• Mary Ann Wilson, LCSW-R

• Family Medicine Physician in Penfield, NY
• Providers in Penfield, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.