Chad M Williams Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CHAD M WILLIAMS INC

Practice address

150 Courthouse Rd # Suie1C
Princeton, WV 24740-2450

Phone

(304) 323-8906

NPI assigned

Mar 24, 2021

Organization subpart

No

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

Authorized official

Name

Vishruta K Patel

Title

Manager

Phone

(304) 952-2658

Specialties & licenses 1

Addresses

Other names 1

• Premier Medical Group Doing business as

Locations

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1609453000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 COURTHOUSE RD # SUIE1C",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402450",
            "telephone_number": "304-323-8906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 COURTHOUSE RD # SUIE1C",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402450",
            "telephone_number": "304-323-8906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD M WILLIAMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VISHRUTA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "304-952-2658"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Kathleen Casey
• India Casey
• Crystal Caskey
• Kristen Rachelle Castro, OTR/L
• Hannah Brooke Cazin-Vance
• Dwayne Anthony Chambers
• Rhonda Champ
• Leslie P. Chandel, M.D.
• Shelia Renee Chandler, MA
• Joel Chapman II, PRSS

• Primary Care Clinic/Center in Princeton, WV
• Providers in Princeton, WV by specialty
• Primary Care Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.