Eric Paul Williams, DC CCSP

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

038005584 Issued in IL

Practice address

322 W Schwartz St
Salem, IL 62881-1550

Phone

(618) 548-1136

Fax

(618) 548-2058

NPI assigned

Jul 13, 2005

Reactivated

Mar 20, 2006

Last updated

Jul 13, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Enrolled

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.

• Berger Chiropractic Office LLC

  • Chiropractor
  • Centralia, IL
  • NPI 1326512393
  NPD (past)
• The Adjustment Bureau PC

  dba Smith Chiropractic and Wellness Center

  • Chiropractor
  • Salem, IL
  • NPI 1164832762
  NPD (past)
• Williams Chiropractic Office PLLC

  • Chiropractor
  • Centralia, IL
  • NPI 1619838281
  NPD (past)

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1437157310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 W SCHWARTZ ST",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628811550",
            "telephone_number": "618-548-1136",
            "fax_number": "618-548-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 W SCHWARTZ ST",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628811550",
            "telephone_number": "618-548-1136",
            "fax_number": "618-548-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ERIC",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DC CCSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2010-07-13",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": "038005584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS",
            "identifier": "06182012",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "127596",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores, Inc (Vision Center 30-0198)
• Kacie Jo Walker, P.T.A.
• Walmart Inc.
• Christina Marie Weibley, FNP-C, FPA
• Lydia Weidner, PHARMD
• Wendy Marie Wilton, MS, CCC-SLP
• Elizabeth Wolff, O.D.
• Alexa Wurm, PMHNP-BC
• Leslie Yates
• Roger Young, NP

• Sports Physician Chiropractor in Salem, IL
• Providers in Salem, IL by specialty
• Sports Physician Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.