Active NPI
Odies H. Williams, III, M. D., P. C.
- Family Medicine Physician
- Gary, IN
National Provider Identifier
1346587771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01026836A
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
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.