Edward Williams MD Inc PS

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

MD00023862 Issued in WA

Legal business name

EDWARD WILLIAMS MD INC PS

Practice address

6210 75TH St W Ste B100
Lakewood, WA 98499-8109

Phone

(253) 581-2934

Fax

(253) 582-0127

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Edward Williams, M.D.

Title

President

Phone

(253) 581-2934

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lakewood Womens Healthcare Doing business as

Locations

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1659423028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 75TH ST W STE B100",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984998109",
            "telephone_number": "253-581-2934",
            "fax_number": "253-582-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 75TH ST W STE B100",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984998109",
            "telephone_number": "253-581-2934",
            "fax_number": "253-582-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD WILLIAMS MD INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-581-2934",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WA",
            "license": "MD00023862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1130640",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakewood Womens Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelby Marie Eastin, FNP-BC
• Katherine Noelle Eaton
• Kayla Eberhardt
• Tabitha Echavarria, PSY.D.
• Eddy Adult Family Home
• Aaliyah Diamond Edwards
• Angela Edwards, MA
• Frederick Paltron Edwards, CDPT
• Lexus Darshay Edwards
• Taylor Edwards

• Medical Specialty Clinic/Center in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Medical Specialty Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.