Mark W Williams, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

28121-020 Issued in WI

Practice address

105 Garfield Ave
Eau Claire, WI 54701-4811

Phone

(715) 836-4311

Fax

(715) 836-5979

NPI assigned

Jan 11, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326198623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 GARFIELD",
            "address_2": "P.O. BOX 4004",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "54701",
            "telephone_number": "715-836-4311",
            "fax_number": "715-836-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 GARFIELD AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014811",
            "telephone_number": "715-836-4311",
            "fax_number": "715-836-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARK",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "28121-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Sue Wilken, FNP-C
• Elizabeth Hannibal Wille, P.T.
• William a Woehrmann DDS SC
• Carla M Williams, M.D.
• Christopher D Williams, MD
• Richard L Williams, CADC III, NCGC II
• Jill Klawiter Williamson, DC, MSCP
• Donald F Willlson-Broyles, LCSW
• Samantha M Willman, CNM
• Eric D Willmarth, CMT

• Family Medicine Physician in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.