Individual provider Active NPI

Karen Marie Williams, M.D.

  • Family Medicine Physician
  • Oakland Park, FL
National Provider Identifier
1649238064
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0064916 Issued in FL
Practice address
5333 N Dixie Hwy
Suite 202
Oakland Park, FL 33334-3414
Phone
(954) 772-1710
Fax
(954) 772-2515
NPI assigned
May 3, 2006
Last updated
Aug 11, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0064916 FL Primary

Addresses

Primary practice location

5333 N Dixie Hwy
Suite 202
Oakland Park, FL 33334-3414

Mailing address

3075 E Commercial Blvd
Suite 1a
Fort Lauderdale, FL 33308-4318
Phone (954) 772-1710

Other identifiers 1

IdentifierTypeStateIssuer
23852OtherFLBC/BS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110509000885 FL Practitioner - Family Practice 8820274871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5149 S University Dr
Davie, FL 33328-4507
Phone (954) 612-3278

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0064916FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asha Wellness LLC CurrentSince Jul 24, 2022 Accepting new patients
Karen Marie Williams MD PA CurrentSince Aug 1, 2022 Accepting new patients

Locations

5149 S University Dr
Davie, FL 33328
Phone (954) 434-7246

5149 S University Dr
Ste 1A
Davie, FL 33328

8287 NW 88th Ave
Tamarac, FL 33321
Phone (954) 722-6637

Interoperability endpoints

  • Direct secure messaging: drwilliams@direct.meditouchehr.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1649238064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 E COMMERCIAL BLVD",
            "address_2": "SUITE 1A",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084318",
            "telephone_number": "954-772-1710",
            "fax_number": "954-491-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 N DIXIE HWY",
            "address_2": "SUITE 202",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333343414",
            "telephone_number": "954-772-1710",
            "fax_number": "954-772-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KAREN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0064916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "23852",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

Verify at the official NPI Registry.