Pamela Sue Williams

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

PN087638 Issued in OH

Practice address

1112 Wamajo Dr
Sandusky, OH 44870-4368

Phone

(419) 271-2699

NPI assigned

Sep 20, 2018

Last updated

Sep 20, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Pamela Sue Warren Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1730663139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 WAMAJO DR",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704368",
            "telephone_number": "419-271-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 WAMAJO DR",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704368",
            "telephone_number": "419-271-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "PAMELA",
        "middle_name": "SUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OH",
            "license": "PN087638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "WARREN",
            "middle_name": "SUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William Zucker & Kenneth Wyneski, Dental Partners, Inc.
• Jackie Rae Williams, NP-C
• Janett Graham Williams, PCC
• Marilou Della Williams, PHARMD, RPH
• Nakia Williams
• Timothy Daniel Williams, PCC
• Brenda L Wilson
• Emily Alice Wilson, LPN
• James Howard Wilson, RD LD
• Lisa Marie Wilson, DIPL. OM, L.AC.

• Nursing Facility/Intermediate Care Facility in Sandusky, OH
• Providers in Sandusky, OH by specialty
• Nursing Facility/Intermediate Care Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.