Active NPI
Daniel E Williams, M.D.
- Medical Oncology Physician
- Lewiston, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 01090600A
- Practice address
- 1250 Idaho St
Lewiston, ID 83501-1965 - Phone
- (208) 743-7427
- NPI assigned
- Jun 13, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 4301030881 | MI | |
| Hematology & Oncology Physician | 207RH0003X | MC-0528 | ID | |
| Medical Oncology Physician | 207RX0202X | 01090600A | IN | Primary |
Addresses
Primary practice location
1250 Idaho St
Lewiston, ID 83501-1965
Mailing address
1540 Lake Lansing Rd
Ste 103
Lansing, MI 48912-3756
Phone (517) 913-3890
Other practice location 1
1540 Lake Lansing Rd
Ste 103
Lansing, MI 48912-3756
Phone (517) 913-3890
Other practice location 2
11050 Parkview Circle Dr
Fort Wayne, IN 46845-1739
Phone (833) 724-8326
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000914 | Other | MI | MCLAREN HEALTH PLAN-MEDICAID |
| 104833738 | Medicaid | MI | |
| 1103300241 | Other | MI | BCBS/BCN |
| 0M76680001 | Other | MI | MEDICARE ADVANTAGE |
| 200000001034 | Other | MI | PHP FAMILYCARE |
| 900002953 | Other | MI | RAILROAD MEDICARE |
| 1000914 | Other | MI | MCLAREN HEALTH ADVANTAGE |
| 1103300241 | Other | MI | HEALTHPLUS OF MICHIGAN |
| 200000001034 | Other | MI | PHP |
| 3454811 | Medicaid | MI | |
| 1000914 | Other | MI | MCLAREN HEALTH PLAN-COMMERCIAL |
| 3454830 | Medicaid | MI | |
| 4062823 | Other | MI | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC-0528 | ID | MD | Hematology & Oncology Physician |
| 4301030881 | MI | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital | Internal Medicine | Current | Accepting new patients |
| St Joseph Hospital LLC | Internal Medicine | Current | Accepting new patients |
| Memorial Hospital | Current | Accepting new patients | |
| Memorial Hospital | Current | Accepting new patients | |
| Mid-Michigan Physicians, PC | Internal Medicine | Past | Accepting new patients |
Locations
1250 Idaho St
Lewiston, ID 83501
Phone (208) 743-7427
307 Saint Johns Way
Ste 11
Lewiston, ID 83501
Phone (208) 743-7612
341 Saint Johns Way
Lewiston, ID 83501
Phone (208) 750-7462
821 21st Ave
Lewiston, ID 83501
Phone (208) 799-3422
9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273
721 N Shiawassee St
Ste 101
Owosso, MI 48867
Phone (989) 729-4673
3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004
Interoperability endpoints
- dwilliams274571@direct.wvuhsdirect.com
- danielwilliams@memh.allscriptsdirect.net
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Lewiston, ID
- NPI 1205368404
-
- Hematology & Oncology Physician
- Wyoming, MI
- NPI 1487813200
-
- General Practice Physician
- Flushing, MI
- NPI 1144428202
-
- Anesthesiology Physician
- Owosso, MI
- NPI 1659527737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698278400000",
"number": "1508809252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 LAKE LANSING RD",
"address_2": "STE 103",
"city": "LANSING",
"state": "MI",
"postal_code": "489123756",
"telephone_number": "517-913-3890",
"fax_number": "517-913-3891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 IDAHO ST",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835011965",
"telephone_number": "208-743-7427"
}
],
"practiceLocations": [
{
"address_1": "1540 Lake Lansing Rd",
"address_2": "Ste 103",
"address_purpose": "LOCATION",
"city": "Lansing",
"state": "MI",
"postal_code": "489123756",
"country_code": "US",
"telephone_number": "517-913-3890",
"fax_number": "517-913-3891",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11050 Parkview Circle Dr",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468451739",
"country_code": "US",
"telephone_number": "833-724-8326",
"fax_number": "260-425-6845",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "DANIEL",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2023-10-26",
"certification_date": "2023-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MI",
"license": "4301030881",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "ID",
"license": "MC-0528",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "IN",
"license": "01090600A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEALTH PLAN-MEDICAID",
"identifier": "1000914",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104833738",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS/BCN",
"identifier": "1103300241",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ADVANTAGE",
"identifier": "0M76680001",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP FAMILYCARE",
"identifier": "200000001034",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "900002953",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEALTH ADVANTAGE",
"identifier": "1000914",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPLUS OF MICHIGAN",
"identifier": "1103300241",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP",
"identifier": "200000001034",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3454811",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEALTH PLAN-COMMERCIAL",
"identifier": "1000914",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3454830",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4062823",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.