Roger Mark Williams, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

016891 Issued in LA

Practice address

501 Dr Michael Debakey Dr
Lake Charles, LA 70601-5724

Phone

(337) 477-6172

Fax

(337) 477-1422

NPI assigned

Aug 18, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248134400000",
    "number": "1750373460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4388",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706064388",
            "telephone_number": "337-477-6172",
            "fax_number": "337-477-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 DR MICHAEL DEBAKEY DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015724",
            "telephone_number": "337-477-6172",
            "fax_number": "337-477-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ROGER",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2009-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": "016891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366901",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/CHAMPUS",
            "identifier": "76-0216590",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lakisha Shantell Williams, PSY.D.
• Luke M Williams, MD
• Marilyn Louise Williams, LPC
• Mary C Williams
• Nadia NA'Sha Williams, MS CF-SLP
• Terrell Williams
• Theresa Jessica Williams, LPC
• Tiffany Williams
• Tracie Yvette Williams
• Tracy Williams

• Otolaryngology Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Otolaryngology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; 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.