Charles F Williams Jr., MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

23517 Issued in IN

Practice address

1722 S Memorial Dr
Suite F
New Castle, IN 47362-1296

Phone

(317) 926-3739

Fax

(317) 921-7498

NPI assigned

May 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1528017019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 E 82ND ST",
            "address_2": "SUITE 75",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462407335",
            "telephone_number": "317-926-3739",
            "fax_number": "317-921-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 S MEMORIAL DR",
            "address_2": "SUITE F",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473621296",
            "telephone_number": "317-926-3739",
            "fax_number": "317-921-7498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHARLES",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "23517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000087435",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren J Waugh, PA-C
• Lorri C Webster, NP
• Natalie Werking
• Amy Lynn White, FNP-C
• Stephanie Wicker, NP-C
• Clayton Bryce Williams, MSW
• Rebekah Williams, RBT
• Kenaniah Williamson, OD
• Brett Michael Willis
• Darci A Wilson, MA

• Dermatology Physician in New Castle, IN
• Providers in New Castle, IN by specialty
• Dermatology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.