Mark W. Williams, M.D., PH.D., General Surgery, S.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MARK W. WILLIAMS, M.D., PH.D., GENERAL SURGERY, S.C.

Practice address

530 Park Ave E
Suite 205
Princeton, IL 61356-3901

Phone

(815) 872-9491

Fax

(815) 875-4060

NPI assigned

Mar 21, 2008

Last updated

Mar 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Wayne Williams, M.D., PH.D.

Title

Director

Phone

(815) 872-9491

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1477724102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 PARK AVE E",
            "address_2": "SUITE 205",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613563901",
            "telephone_number": "815-872-9491",
            "fax_number": "815-875-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 PARK AVE E",
            "address_2": "SUITE 205",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613563901",
            "telephone_number": "815-872-9491",
            "fax_number": "815-875-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK W. WILLIAMS, M.D., PH.D., GENERAL SURGERY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "815-872-9491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Donald R Marion, OD
• Jeffrey Paul Martin, DC
• Angela McClain, MS, CNS, LDN
• Jon E McCutchan, OD
• Micah W McNeill, APRN, CNP
• Kristina L Menzel, LCPC

• Surgery Physician in Princeton, IL
• Providers in Princeton, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.