Mark Richard Williams, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

MW001983 Issued in MI

Practice address

605 S State St
Davison, MI 48423

Phone

(810) 653-9060

Fax

(810) 658-2248

NPI assigned

Sep 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Professional Foot and Ankle Centers, PCGroup PAC ID 6608866223, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Flint Hospital, Flint, MI, CCN 230141

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mwilliams1157733@direct.hfhs.org
• Direct secure messaging: mark.williams@direct.secureehrthomas.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Professional Foot and Ankle Centers, PC

  • Foot & Ankle Surgery Podiatrist
  • Davison, MI
  • NPI 1104025220

  MI, Podiatrist

  Medicare reassignment Care Compare group NPD Authorized official
• Professional Foot and Ankle Centers, PC

  • Foot & Ankle Surgery Podiatrist
  • Lapeer, MI
  • NPI 1346430923

  Podiatrist

  NPD Authorized official
• Home Foot Care, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Lake Orion, MI
  • NPI 1558438127

  Podiatrist

  NPD (past)
• Home Foot Care, LLP

  • Primary Podiatric Medicine Podiatrist
  • Houston, TX
  • NPI 1437147634
  NPD (past)
• Lepow Podiatric Medical Associates

  • Podiatrist
  • Houston, TX
  • NPI 1447399639
  NPD (past)

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

• McLaren Flint

  • General Acute Care Hospital
  • Flint, MI
  • NPI 1902894512

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372377600000",
    "number": "1669575478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 480",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "48423",
            "telephone_number": "810-653-9060",
            "fax_number": "810-658-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S STATE ST",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "48423",
            "telephone_number": "810-653-9060",
            "fax_number": "810-658-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARK",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2013-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "MW001983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4632598",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edyta Werbanowski, PHYSICAL THERAPIST
• Jessica Wherry, COTA/L
• Derek Alan White, RPH
• Timothy Willey, RPH
• Gavin Williams, PT, DPT
• Ronald A Williams, DMD
• Sydney Elizabeth Wills, MS-CCC-SLP
• John Whitmore Wiltz, D.D.S.,P.C.
• Amanda L. Winston, M.D.
• Tammy Jean Withey

• All providers in Davison, MI
• Foot & Ankle Surgery Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.