Ackerman Claude Williams Jr., M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD013316E Issued in PA

Practice address

994 Vallamont Drive
Williamsport, PA 17701-3050

Phone

(570) 323-4677

Fax

(570) 322-2812

NPI assigned

Aug 1, 2006

Last updated

Feb 12, 2013By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Enrolled in PA

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

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1760498240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 VALLAMONT DRIVE",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013050",
            "telephone_number": "570-323-4677",
            "fax_number": "570-322-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "994 VALLAMONT DRIVE",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013050",
            "telephone_number": "570-323-4677",
            "fax_number": "570-322-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ACKERMAN",
        "middle_name": "CLAUDE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD013316E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE-PALMETTO GBA",
            "identifier": "441261722",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• White Deer Run, Inc (White Deer Run of Williamsport)
• Rosemary Wiegand
• Lorinda C Wilcocks, LCSW
• Wilkes Barre Vamc
• Willard Amos Wilkinson V
• Jeffery Williams
• Avery Danielle Williamson, PA-C
• Jamie Danielle Williamson, CRNP
• Neihl Williamson, PA-C
• Sasha N Williamson, RDH, PHDHP

• Psychiatry Physician in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.