Active NPI
Michelle F Williams, M.D.
- Pediatrics Physician
- Orange City, FL
National Provider Identifier
1497934616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME 103648
- Practice address
- 2881 Wellness Ave
Orange City, FL 32763-8396 - Phone
- (386) 917-0450
- NPI assigned
- Oct 25, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TRN9800 | FL | |
| Pediatrics Physician | 208000000X | ME 103648 | FL | Primary |
Addresses
Primary practice location
2881 Wellness Ave
Orange City, FL 32763-8396
Mailing address
2881 Wellness Ave
Orange City, FL 32763
Phone (386) 917-0450
Other names 1
- Michelle M Fontana
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 103648 | FL | MD | Pediatrics Physician |
| TRN9800 | FL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Partners of Central Florida, PA | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- michelle.williams@cfp-fl.direct.office.nextgen.com
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Lake Mary, FL
- NPI 1407977150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1497934616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2881 WELLNESS AVE",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "32763",
"telephone_number": "386-917-0450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2881 WELLNESS AVE",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327638396",
"telephone_number": "386-917-0450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MICHELLE",
"middle_name": "F",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-25",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "TRN9800",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME 103648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "FONTANA",
"middle_name": "M",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Orange City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.