NPIMap

Individual provider Active NPI

Daniel C Williams, MD

  • Internal Medicine Physician
  • Tunkhannock, PA
National Provider Identifier
1609869072
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD420614E Issued in PA
Practice address
71 Hollow Crest Rd
Ste 3
Tunkhannock, PA 18657-6633
Phone
(570) 836-4705
NPI assigned
Aug 31, 2005
Last updated
Oct 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD420614E PA Primary

Addresses

Primary practice location

71 Hollow Crest Rd
Ste 3
Tunkhannock, PA 18657-6633

Mailing address

71 Hollow Crest Rd
Ste 3
Tunkhannock, PA 18657-6633
Phone (570) 836-4705

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040407000766 PA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 6406849157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Johns Hopkins University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

71 Hollow Crest Rd
Suite 3
Tunkhannock, PA 18657-6669
Phone (570) 836-4705

71 Hollowcrest Rd
Suite 3
Tunkhannock, PA 18657-6669

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.17 of 100Reported as apm
Quality
78.34
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions22
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD420614EPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Primary Care PC Internal Medicine CurrentSince Feb 15, 2003 Accepting new patients
Mercy Tyler Hospital Past Accepting new patients
Summit Surgical, PC Past Accepting new patients
Kraft Emergency Physicians LLC Past Accepting new patients
Mercy Tyler Health Systems Past Accepting new patients

Locations

71 Hollow Crest Rd
Ste 3
Tunkhannock, PA 18657
Phone (570) 836-4705

Interoperability endpoints

  • Direct secure messaging: daniel.williams@493.securemail.prognocis.com

Organizations & group practices 5

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.

Hospital & facility affiliations 40

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224028800000",
    "number": "1609869072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 HOLLOW CREST RD",
            "address_2": "STE 3",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186576633",
            "telephone_number": "570-836-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 HOLLOW CREST RD",
            "address_2": "STE 3",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186576633",
            "telephone_number": "570-836-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DANIEL",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2008-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD420614E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tunkhannock, PA

Sources for this page

Verify at the official NPI Registry.