Organization Active NPI

Odies H. Williams, III, M. D., P. C.

  • Family Medicine Physician
  • Gary, IN
National Provider Identifier
1346587771
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01026836A Issued in IN
Legal business name
ODIES H. WILLIAMS, III, M. D., P. C.
Practice address
2200 Grant St
Suite 101
Gary, IN 46404-3439
Phone
(219) 949-3203
Fax
(219) 944-7030
NPI assigned
Jan 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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

Authorized official

Name
Dr. Odies Henry Williams III, M.D.
Title
Physician/Owner
Phone
(219) 949-3203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 01026836A IN Primary

Addresses

Primary practice location

2200 Grant St
Suite 101
Gary, IN 46404-3439

Mailing address

2200 Grant St
Suite 101
Gary, IN 46404-3439
Phone (219) 949-3203

National Provider Directory

National Provider Directory

Locations

504 Broadway
Ste 333
Gary, IN 46402
Phone (219) 949-3203

NPI Registry JSON

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357257600000",
    "number": "1346587771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 GRANT ST",
            "address_2": "SUITE 101",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464043439",
            "telephone_number": "219-949-3203",
            "fax_number": "219-944-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 GRANT ST",
            "address_2": "SUITE 101",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464043439",
            "telephone_number": "219-949-3203",
            "fax_number": "219-944-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODIES H. WILLIAMS, III, M. D., P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-04",
        "last_updated": "2013-01-04",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ODIES",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "219-949-3203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01026836A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gary, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.