NPIMap

Individual provider Active NPI

Mark Stanley Williams, DO

  • Orthopaedic Surgery Physician
  • Bloomsburg, PA
National Provider Identifier
1477554624
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
05008141L Issued in PA
Practice address
6850 Lows Rd
Bloomsburg, PA 17815-8729
Phone
(570) 784-7300
Fax
(570) 784-7331
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 05008141L PA Primary

Addresses

Primary practice location

6850 Lows Rd
Bloomsburg, PA 17815-8729

Mailing address

6850 Lows Road
Bloomsburg, PA 17815
Phone (570) 784-7300

Other identifiers 1

IdentifierTypeStateIssuer
0016392810001MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mwilliams65381@direct.geisinger.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040329001372 PA Practitioner - Orthopedic Surgery 3971495342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Philadelphia College of Osteopathic Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Susquehanna Valley Medical Specialties, PCGroup PAC ID 2961394358, 5 clinicians

Practice addresses (Care Compare)

6850 Lows Rd
Bloomsburg, PA 17815-8708
Phone (570) 784-7300

Hospital & facility affiliations

  • Commonwealth Home Health & Hospice of Berwick Home health agency, Berwick, PA, CCN 397272
  • Geisinger-Bloomsburg Hospital Hospital, Bloomsburg, PA, CCN 390003
  • Geisinger Medical Center Hospital, Danville, PA, CCN 390006

Merit-based Incentive Payment System (MIPS)

Final score
87.31 of 100Reported as group
Quality
91.08
Promoting interoperability
93
Improvement activities
40
Cost
72.45

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement20
Lower limb (leg) arthroscopy (minimally invasive joint repair)14
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
05008141LPAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Susquehanna Valley Medical Specialties, PC Orthopaedic Surgery CurrentSince Jun 17, 1997 Accepting new patients
Susquehanna Valley Medical Specialties Past Accepting new patients
Susquehanna Surgery Center Inc PastSince Dec 28, 2001 Accepting new patients

Locations

6850 Lows Rd
Bloomsburg, PA 17815
Phone (570) 784-6243

6850 Lows Rd
Ste 325
Bloomsburg, PA 17815
Phone (570) 784-5545

Interoperability endpoints

  • FHIR API: https://geisapi.geisinger.edu/FHIR_PROD/api/FHIR/R4
  • Direct secure messaging: mwilliams65381@direct.geisinger.edu

Organizations & group practices 3

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.

Hospital & facility affiliations 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1477554624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 LOWS ROAD",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "17815",
            "telephone_number": "570-784-7300",
            "fax_number": "570-784-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 LOWS RD",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178158729",
            "telephone_number": "570-784-7300",
            "fax_number": "570-784-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARK",
        "middle_name": "STANLEY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "05008141L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016392810001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwilliams65381@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6850 Lows Rd",
            "city": "Bloomsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "178158729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomsburg, PA

Sources for this page

Verify at the official NPI Registry.