David V Williams, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00010234 Issued in WA

Practice address

208 Centralia College Blvd
Centralia, WA 98531-4007

Phone

(360) 736-0771

Fax

(360) 736-4867

NPI assigned

Jul 31, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Washington Park Medical Center, Inc PS

  • Family Medicine Physician
  • Centralia, WA
  • NPI 1093729329
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192147200000",
    "number": "1427064328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 239",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985310239",
            "telephone_number": "360-736-0771",
            "fax_number": "360-736-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 CENTRALIA COLLEGE BLVD",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985314007",
            "telephone_number": "360-736-0771",
            "fax_number": "360-736-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DAVID",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00010234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "L00430",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1337906",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph W Wiley, MD
• Abigael Anne Wilhite, AAC
• Joann Wilkey, RN
• Bailey Williams, MA, LMHC
• Carolyn Williams
• Ian Keith Williams
• Paul D Williams, MD
• Bridgette Willing
• Rachel Willson
• Wilson & Wilson, DDS PLLC (Wilson & Wilson Dentistry)

• Family Medicine Physician in Centralia, WA
• Providers in Centralia, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.