Active NPI
Gary B Williams, MD
- Surgery Physician
- Akron, OH
National Provider Identifier
1629062690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 35036436
- Practice address
- 75 Arch St
Suite 405
Akron, OH 44304-1429 - Phone
- (330) 253-5335
- Fax
- (330) 253-6233
- NPI assigned
- Sep 7, 2005
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35036436 | OH | Primary |
Addresses
Primary practice location
75 Arch St
Suite 405
Akron, OH 44304-1429
Mailing address
75 Arch St
Suite 405
Akron, OH 44304-1429
Phone (330) 253-5335
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WI0420562 | Other | OH | MEDICARE ID |
| 0312861 | Medicaid | OH |
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 |
|---|---|---|---|
| 35036436 | OH | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322438400000",
"number": "1629062690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 ARCH ST",
"address_2": "SUITE 405",
"city": "AKRON",
"state": "OH",
"postal_code": "443041429",
"telephone_number": "330-253-5335",
"fax_number": "330-253-6233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 ARCH ST",
"address_2": "SUITE 405",
"city": "AKRON",
"state": "OH",
"postal_code": "443041429",
"telephone_number": "330-253-5335",
"fax_number": "330-253-6233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "GARY",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2011-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35036436",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "WI0420562",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0312861",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.