Andrea Renee Williams, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

04266 Issued in KY

Practice address

900 Hospital Dr
Madisonville, KY 42431-1644

Phone

(270) 825-5101

NPI assigned

Jun 17, 2014

Last updated

Feb 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ohio County Hospital CorporationGroup PAC ID 3577477264, shared by 10 NPIs, 84 clinicians

Baptist Health Deaconess Medical Group IncGroup PAC ID 6103220330, 241 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Deaconess Madisonville Hospital, Madisonville, KY, CCN 180093
• The Medical Center (Bowling Green) Hospital, Bowling Green, KY, CCN 180013

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Baptist Health Deaconess Medical Group Inc

  • Internal Medicine Physician
  • Madisonville, KY
  • NPI 1437730942
  Medicare reassignment Care Compare group NPD
• Ohio County Hospital Corporation

  dba Ohio County Surgical Care

  • Surgery Physician
  • Hartford, KY
  • NPI 1407049000
  Medicare reassignment NPD
• Ohio County Hospital Corporation

  • Critical Access Hospital
  • Hartford, KY
  • NPI 1629007430
  Medicare reassignment NPD
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382
  Medicare reassignment
• Baptist Health Deaconess Medical Group Inc

  • Rural Health Clinic/Center
  • Dawson Springs, KY
  • NPI 1356922827
  NPD
• Baptist Health Deaconess Medical Group Inc

  dba Baptist Health Deaconess Madisonville Hospital Based Providers

  • Hospitalist Physician
  • Madisonville, KY
  • NPI 1972320430

  Emergency Medicine

  NPD
• Ohio County Hospital Corporation

  dba Ohio County Hospital PS

  • Emergency Medicine Physician
  • Hartford, KY
  • NPI 1386764678
  NPD
• Ohio County Hospital Corporation

  dba Ohio County Healthcare Gastroenterology

  • Gastroenterology Physician
  • Owensboro, KY
  • NPI 1437961828
  NPD
• Ohio County Hospital Corporation

  dba Ohio County Pathology Services

  • Clinical Pathology Physician
  • Hartford, KY
  • NPI 1992565956
  NPD
• Commonwealth Hematology Oncology PSC

  dba Commonwealth Cancer Center

  • Hematology & Oncology Physician
  • Somerset, KY
  • NPI 1285687178
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Health Deaconess Madisonville Inc

  dba Baptist Health Deaconess Madisonville

  • Rural Acute Care Hospital
  • Madisonville, KY
  • NPI 1447231956
  Care Compare affiliation
• Bowling Green-Warren County Community Hospital Corporation

  dba The Medical Center

  • General Acute Care Hospital
  • Bowling Green, KY
  • NPI 1043293608
  Care Compare affiliation

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1447664545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5374 ROB ROY RD",
            "city": "CROMWELL",
            "state": "KY",
            "postal_code": "423339738",
            "telephone_number": "270-256-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HOSPITAL DR",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424311644",
            "telephone_number": "270-825-5101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "799 Farson St - Emergency Department",
            "address_purpose": "LOCATION",
            "city": "Belpre",
            "state": "OH",
            "postal_code": "45714",
            "country_code": "US",
            "telephone_number": "740-401-1150",
            "fax_number": "740-401-1155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Matthew St",
            "address_2": "Emergency Medicine Residency",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457501635",
            "country_code": "US",
            "telephone_number": "740-376-1939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1211 Old Main St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "KY",
            "postal_code": "423471619",
            "country_code": "US",
            "telephone_number": "270-298-7411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Park St",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421011760",
            "country_code": "US",
            "telephone_number": "270-745-1626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ANDREA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.012921",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "04266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0243554",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71005466870",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher K Whetstine
• Ashlenn Brei White
• Rachael White
• Kristin Wickham, M.D.
• Wiggins Drugs Limited (King Drug & Home Care-Madisonville)
• Demetrica Williams
• Kelly King Williams
• Kevin Lee Williams, M.D.
• Megan McGrath Williams, M.S.-CCC- SLP
• Rayven Williams

• Emergency Medicine Physician in Madisonville, KY
• Providers in Madisonville, KY by specialty
• Emergency Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.