Active NPI
Angela Williamson, P.A.
- Physician Assistant
- Newburgh, IN
National Provider Identifier
1447240460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10000206A
- Practice address
- 10444 Sr 66 N
Newburgh, IN 47630 - Phone
- (812) 853-9651
- NPI assigned
- Oct 21, 2005
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10000206A | IN | Primary |
Addresses
Primary practice location
10444 Sr 66 N
Newburgh, IN 47630
Mailing address
2330 Lynch Rd
Ste 250
Evansville, IN 47711-2998
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10000206A | IN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mustafa a Hammad MD PA | Past | Accepting new patients | |
| Vascular Associates LLC | Past | Accepting new patients |
Interoperability endpoints
- angela.williamson@gcd.eclinicaldirectplus.com
Organizations & group practices 2
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.
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- NPI 1821129313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1447240460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2330 LYNCH RD",
"address_2": "STE 250",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477112998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10444 SR 66 N",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "47630",
"telephone_number": "812-853-9651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMSON",
"first_name": "ANGELA",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-21",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10000206A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.