Active NPI
Kathryn Shaw Williams, M.D.
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Cary, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- License
- 2023-00838
- Practice address
- 210 Ashville Ave
Cary, NC 27518-6676 - Phone
- (919) 235-6509
- Fax
- (919) 235-6591
- NPI assigned
- Jun 15, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 2023-00838 | NC | |
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | 207VF0040X | R4167 | TX | |
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | 207VF0040X | 2023-00838 | NC | Primary |
Addresses
Primary practice location
210 Ashville Ave
Cary, NC 27518-6676
Mailing address
PO Box 603949
Charlotte, NC 28260-3949
Phone (919) 350-8991
Other practice location 1
3006 Houston Ave
Houston, TX 77009-6735
Phone (919) 740-3229
Other practice location 2
10880 Durant Rd
Raleigh, NC 27614-6629
Phone (919) 235-6509
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1901 S Union Ave
Tacoma, WA 98405-1702
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
Hospital & facility affiliations
- Tacoma General Allenmore Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023-00838 | NC | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Single Specialty | Current | Accepting new patients |
| Wakemed Specialists Group, LLC | Single Specialty | Current | Accepting new patients |
| Wakemed Specialists Group LLC | Current | Accepting new patients | |
| Wakemed Specialists Group, LLC | Urogynecology and Reconstructive Pelvic Surgery | Current | Accepting new patients |
| Maiden Lane Medical, PLLC | Single Specialty | Past | Accepting new patients |
Locations
210 Ashville Ave
Cary, NC 27518
Phone (919) 235-6460
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
315 S K St
Tacoma, WA 98405
Phone (253) 403-1291
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EEDBDA
- kwilliams163717@direct.houstonmethodist.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Raleigh, NC
- NPI 1588227839
Single Specialty
-
- Cardiac Rehabilitation Registered Nurse
- Raleigh, NC
- NPI 1063304228
-
- Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
- Raleigh, NC
- NPI 1598320830
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681430400000",
"number": "1467689752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 603949",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282603949",
"telephone_number": "919-350-8991",
"fax_number": "919-350-7687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 ASHVILLE AVE",
"city": "CARY",
"state": "NC",
"postal_code": "275186676",
"telephone_number": "919-235-6509",
"fax_number": "919-235-6591"
}
],
"practiceLocations": [
{
"address_1": "3006 Houston Ave",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770096735",
"country_code": "US",
"telephone_number": "919-740-3229",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10880 Durant Rd",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276146629",
"country_code": "US",
"telephone_number": "919-235-6509",
"fax_number": "919-235-6591",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KATHRYN",
"middle_name": "SHAW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-15",
"last_updated": "2023-04-14",
"certification_date": "2023-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NC",
"license": "2023-00838",
"primary": false
},
{
"code": "207VF0040X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
"state": "TX",
"license": "R4167",
"primary": false
},
{
"code": "207VF0040X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
"state": "NC",
"license": "2023-00838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.