Active NPI
Andre O Williams, M.D.
- Pain Medicine (Anesthesiology) Physician
- Exton, PA
National Provider Identifier
1477640860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- MD038212L
- Practice address
- 460 Creamery Way
Ste 102
Exton, PA 19341-2533 - Phone
- (610) 280-0340
- Fax
- (610) 280-0750
- NPI assigned
- Oct 6, 2006
- Last updated
- Jul 8, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD038212L | PA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | MD038212L | PA | Primary |
Addresses
Primary practice location
460 Creamery Way
Ste 102
Exton, PA 19341-2533
Mailing address
460 Creamery Way
Ste 102
Exton, PA 19341-2533
Phone (610) 280-0340
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050017782 | Other | PA | RAILROAD MEDICARE |
| 050032526 | Other | PA | RAILROAD MEDICARE |
| 000926481 | Medicaid | PA |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD038212L | PA | MD | Anesthesiology Physician |
Interoperability endpoints
- awilliams59133@direct-guthrie.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404777600000",
"number": "1477640860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 CREAMERY WAY",
"address_2": "STE 102",
"city": "EXTON",
"state": "PA",
"postal_code": "193412533",
"telephone_number": "610-280-0340",
"fax_number": "610-280-0750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 CREAMERY WAY",
"address_2": "STE 102",
"city": "EXTON",
"state": "PA",
"postal_code": "193412533",
"telephone_number": "610-280-0340",
"fax_number": "610-280-0750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ANDRE",
"middle_name": "O",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2014-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD038212L",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "PA",
"license": "MD038212L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "050017782",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "050032526",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000926481",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Exton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.