Susan F Williams MD PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME 85003 Issued in FL

Legal business name

SUSAN F WILLIAMS MD PA

Practice address

17928 Toledo Blade Blvd
Port Charlotte, FL 33948-1021

Phone

(941) 743-7337

Fax

(941) 743-2099

NPI assigned

Jul 22, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Tiff Williams

Title

Office Manager

Phone

(941) 743-7337

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Emily Jane Brown, PA-C

  • Physician Assistant
  • Port Charlotte, FL
  • NPI 1326500174
  NPD (past)
• Katherine Ann Ludeman, ARNP

  • Nurse Practitioner
  • Port Charlotte, FL
  • NPI 1285751073
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306867304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17928 TOLEDO BLADE BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481021",
            "telephone_number": "941-743-7337",
            "fax_number": "941-743-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17928 TOLEDO BLADE BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481021",
            "telephone_number": "941-743-7337",
            "fax_number": "941-743-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN F WILLIAMS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TIFF",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "941-743-7337",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME 85003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suncoast Medical Associates Charlotte PA
• Sunrise Clinical Laboratory
• Sunrise Clinical Laboratory Inc
• Sunrise Home Health & Supplies LLC
• Surgery Center of Port Charlotte LTD (Gulf Pointe Surgery Center)
• Gina Sussi, ARNP
• Danielly Sutta
• SW Florida Pain Center Inc
• Katherine Swanson
• Swaroop Muppavarapu, M.D., P.a.

• Pediatrics Physician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.