Active NPI
Charles Williamon
- Contractor
- Cincinnati, OH
National Provider Identifier
1477316099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 9769518
- Practice address
- 3825 Edwards Rd Ste 103
Cincinnati, OH 45209-1262 - Phone
- (859) 445-6201
- NPI assigned
- Feb 5, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 9769518 | AL | Primary |
Addresses
Primary practice location
3825 Edwards Rd Ste 103
Cincinnati, OH 45209-1262
Mailing address
913 Dustwhirl Dr
Union, KY 41091-7919
Phone (859) 445-6201
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9769518 | AL | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707091200000",
"number": "1477316099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "913 DUSTWHIRL DR",
"city": "UNION",
"state": "KY",
"postal_code": "410917919",
"telephone_number": "859-445-6201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3825 EDWARDS RD STE 103",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452091262",
"telephone_number": "859-445-6201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMON",
"first_name": "CHARLES",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-05",
"last_updated": "2024-02-05",
"certification_date": "2024-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "AL",
"license": "9769518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
- William D Saunders PHD
- William D Slonaker DDS Inc
- William E Keuper (Northern Hills Pharmacy)
- William J Niemes MD Inc (Allergy & Asthma Care Inc)
- William P Sawyer
- Pamela H Williams Arya, MD
- Lisa Williams Griffith
- Denisha Williams- Coleman, RRT
- Cheryl Renee Williams-Ballard
- Deirdre A Williams-Connolly, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.