Maureen Noel Williams, MD

Primary specialty

Aerospace Medicine PhysicianTaxonomy code 2083A0100X

License

21206 Issued in NE

Practice address

4881 Sugar Maple Dr
88 MDG/SGHJ
Wright-Patterson AFB, OH 45433

Phone

(937) 656-3640

NPI assigned

Jul 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1629098876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 MDG/SGHJ",
            "address_2": "4881 SUGAR MAPLE DR",
            "city": "WRIGHT-PATTERSON AFB",
            "state": "OH",
            "postal_code": "45433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR",
            "address_2": "88 MDG/SGHJ",
            "city": "WRIGHT-PATTERSON AFB",
            "state": "OH",
            "postal_code": "45433",
            "telephone_number": "937-656-3640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 3rd St West",
            "address_2": "12ADS/SGGAF",
            "address_purpose": "LOCATION",
            "city": "Randolph AFB",
            "state": "TX",
            "postal_code": "78150",
            "country_code": "US",
            "telephone_number": "210-652-4267",
            "fax_number": "210-652-1329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "RAF Lakenheath",
            "address_2": "Unit 5115",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AE",
            "postal_code": "094615115",
            "country_code": "US",
            "telephone_number": "314-226-8124",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MAUREEN",
        "middle_name": "NOEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "21602",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NE",
            "license": "21206",
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "NE",
            "license": "21206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnny E Whitaker III, CRNA
• John Matthew Wightman, M.D.
• Mia Alexis Wilborne
• Calvin Williams
• Daniel Adam Williams
• Elizabeth Willis, MD
• Janelle Wilmot, DPT
• Kelsey Wilson, DO
• David Brent Wirth, M.A., M.S.
• Halei K Wong, M.D.

• Aerospace Medicine Physician in Wright Patterson AFB, OH
• Providers in Wright Patterson AFB, OH by specialty
• Aerospace Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.