Active NPI
Mark S Williams, D.O.
- Family Medicine Physician
- Scottdale, PA
National Provider Identifier
1215920186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS005170L
- Practice address
- 305 Everson Ave
Scottdale, PA 15683-1512 - Phone
- (724) 887-4550
- Fax
- (724) 887-7485
- NPI assigned
- Aug 25, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS005170L | PA | Primary |
Addresses
Primary practice location
305 Everson Ave
Scottdale, PA 15683-1512
Mailing address
305 Everson Ave
Scottdale, PA 15683-1512
Phone (724) 887-4550
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009761700002 | Medicaid | PA | |
| 080006831 | Other | PA | TRAVELERS MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101014000862 | PA | Practitioner - Family Practice | 8527072248 | Practice locations: Scottdale, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
305 Everson Ave
Scottdale, PA 15683-1512
Phone (724) 887-4550
Hospital & facility affiliations
- Excela Health Home Care & Hospice
- Amedisys Home Health of PA
- Amedisys Hospice of PA
- Excela Health Home Care & Hospice
- Excela Health - Frick Hospital
- Excela Health Westmoreland Regional Hospital
- Penn Highlands Connellsville
- Uniontown Hospital
- Excela Health Latrobe Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JBACCD/Endpoint/JBACCD
Hospital & facility affiliations 30
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Uniontown, PA
- NPI 1598719379
-
- Community Based Hospice Care Agency
- Uniontown, PA
- NPI 1629015250
-
- Home Health Agency
- Greensburg, PA
- NPI 1063583797
-
- Community Based Hospice Care Agency
- Greensburg, PA
- NPI 1609941442
-
- General Acute Care Hospital
- Mt Pleasant, PA
- NPI 1144255159
-
- Psychiatric Hospital Unit
- Connellsville, PA
- NPI 1124053467
-
- General Acute Care Hospital
- Connellsville, PA
- NPI 1144215039
-
- Internal Medicine Physician
- Connellsville, PA
- NPI 1518680164
Hospital
-
- Adolescent and Children Mental Health Clinic/Center
- Latrobe, PA
- NPI 1518985167
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202774400000",
"number": "1215920186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 EVERSON AVE",
"city": "SCOTTDALE",
"state": "PA",
"postal_code": "156831512",
"telephone_number": "724-887-4550",
"fax_number": "724-887-7485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 EVERSON AVE",
"city": "SCOTTDALE",
"state": "PA",
"postal_code": "156831512",
"telephone_number": "724-887-4550",
"fax_number": "724-887-7485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MARK",
"middle_name": "S",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-25",
"last_updated": "2008-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS005170L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009761700002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS MEDICARE",
"identifier": "080006831",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Scottdale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.