Active NPI
Shaun C. Williams, M.D.
- Reproductive Endocrinology Physician
- Norwalk, CT
National Provider Identifier
1598873481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- 043549
- Practice address
- 761 Main Ave
Suite 200
Norwalk, CT 06851-1080 - Phone
- (203) 750-7400
- NPI assigned
- Aug 29, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | 043549 | CT | Primary |
Addresses
Primary practice location
761 Main Ave
Suite 200
Norwalk, CT 06851-1080
Mailing address
761 Main Ave
Suite 200
Norwalk, CT 06851-1080
Phone (203) 750-7400
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043549 | Other | CT | CONNECTICARE |
| 1115395 | Other | CT | AETNA |
| P3661557 | Other | CT | OXFORD |
| 0110043549CT01 | Other | CT | BLUE CROSS BLUE SHIELD |
| 19819545 | Other | CT | UNITED HEALTHCARE |
| 2V7258 | Other | CT | HEALTHNET |
| 043549 | Other | CT | STATE LICENSE |
| 3325891 | Other | CT | CIGNA |
| 9400961 | Other | CT | PHCS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043549 | CT | MD | Reproductive Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illume Fertility, PLLC | Reproductive Endocrinology | Past | Accepting new patients |
| Pacific Gynecology Specialists, PC | Past | Accepting new patients | |
| Pacific Gynecology Specialists, PC | Past | Accepting new patients |
Interoperability endpoints
- shaunc.williams@xdr.hhchealthdirect.org
Organizations & group practices 3
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.
-
- Reproductive Endocrinology Physician
- Norwalk, CT
- NPI 1013086727
-
- Ambulatory Surgical Clinic/Center
- Seattle, WA
- NPI 1417276312
-
- Specialist
- Seattle, WA
- NPI 1538113501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1598873481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "761 MAIN AVE",
"address_2": "SUITE 200",
"city": "NORWALK",
"state": "CT",
"postal_code": "068511080",
"telephone_number": "203-750-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "761 MAIN AVE",
"address_2": "SUITE 200",
"city": "NORWALK",
"state": "CT",
"postal_code": "068511080",
"telephone_number": "203-750-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "SHAUN",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "CT",
"license": "043549",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "043549",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1115395",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3661557",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0110043549CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "19819545",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2V7258",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "043549",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3325891",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "9400961",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.