Individual provider Active NPI

Charlene Vee Williams, M.D.

  • Obstetrics & Gynecology Physician
  • Huntington Woods, MI
National Provider Identifier
1548462591
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
430182260 Issued in MI
Practice address
26711 Woodward Ave Ste 108
Huntington Woods, MI 48070-1367
Phone
(248) 336-2008
NPI assigned
Jun 1, 2007
Last updated
Sep 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 430182260 MI Primary

Addresses

Primary practice location

26711 Woodward Ave Ste 108
Huntington Woods, MI 48070-1367

Mailing address

26711 Woodward Ave
Ste 108
Huntington Woods, MI 48070-1367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080229000508 MI Practitioner - Obstetrics/Gynecology 1052495975 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Human Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

611 Martin Luther King Jr Blvd
Detroit, MI 48201-2273
Phone (313) 832-6300

7900 Kercheval St
Detroit, MI 48214-2439
Phone (313) 921-5500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
430182260MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Physicians of Michigan Single Specialty CurrentSince Feb 24, 2016 Accepting new patients
Detroit Community Health Connection, Inc CurrentSince Jun 13, 2018 Accepting new patients
Charlene V. Williams MD PC Single Specialty CurrentSince Apr 14, 2021 Accepting new patients
Detroit Community Health Connection, Inc. Single Specialty CurrentSince Jun 13, 2018 Accepting new patients
Wonderfully Made Women's Health Care Single Specialty Past Accepting new patients
VHS Harper-Hutzel Hospital Inc Past Accepting new patients
VHS Sinai-Grace Hospital Inc Past Accepting new patients

Locations

13901 E Jefferson Ave
Detroit, MI 48215
Phone (313) 821-2591

20510 Fenkell St
Detroit, MI 48223
Phone (313) 534-6611

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300

6071 W Outer Dr
Ofc
Detroit, MI 48235
Phone (313) 966-3116

611 Mlk Blvd
Detroit, MI 48201
Phone (313) 832-6300

7900 Kercheval St
Detroit, MI 48214
Phone (313) 921-5500

26711 Woodward Ave
Ste 108
Huntington Woods, MI 48070
Phone (248) 336-2008

Interoperability endpoints

  • Direct secure messaging: charlene.williams@dchc.directbygreenway.com
  • Direct secure messaging: cwilliam3@direct.dmc.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1548462591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26711 WOODWARD AVE",
            "address_2": "STE 108",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26711 WOODWARD AVE STE 108",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701367",
            "telephone_number": "248-336-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHARLENE",
        "middle_name": "VEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "430182260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Woods, MI

Sources for this page

Verify at the official NPI Registry.