NPIMap

Organization Active NPI

Charles T Williams MD PC

  • Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1548417272
Registry record updated Aug 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
12804 Issued in AZ
Legal business name
CHARLES T WILLIAMS MD PC
Practice address
9150 W Indian School Rd
Unit 8, Suite 131
Phoenix, AZ 85037-2384
Phone
(623) 848-8833
Fax
(623) 848-8227
NPI assigned
Aug 25, 2008
Last updated
Aug 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2008

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

Authorized official

Name
Charles T Williams, M.D.NPI 1912958687
Title
Owner/President
Phone
(623) 848-8833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 12804 AZ Primary

Addresses

Primary practice location

9150 W Indian School Rd
Unit 8, Suite 131
Phoenix, AZ 85037-2384

Mailing address

PO Box 14428
Phoenix, AZ 85063-4428
Phone (623) 848-8833

Other identifiers 2

IdentifierTypeStateIssuer
229303MedicaidAZ
AZ0033830OtherAZBCBS OF AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219622400000",
    "number": "1548417272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14428",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850634428",
            "telephone_number": "623-848-8833",
            "fax_number": "623-848-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 W INDIAN SCHOOL RD",
            "address_2": "UNIT 8, SUITE 131",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850372384",
            "telephone_number": "623-848-8833",
            "fax_number": "623-848-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES T WILLIAMS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-25",
        "last_updated": "2008-08-25",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "623-848-8833",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "12804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "229303",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AZ",
            "identifier": "AZ0033830",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.