Williamson Medical PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WILLIAMSON MEDICAL PLLC

Practice address

4418 Ridge Rd E
Willamson Medical PLLC
Williamson, NY 14589

Phone

(315) 589-4641

Fax

(315) 589-9585

NPI assigned

Aug 23, 2006

Last updated

Jan 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Krishna V Persaud, MDNPI 1508829284

Title

Owner MD

Phone

(315) 589-4641

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Krishna Vijay Persaud, MD

  • Internal Medicine Physician
  • Williamson, NY
  • NPI 1508829284
  Authorized official Same address or phone

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1841307360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4418 RIDGE RD E",
            "address_2": "WILLAMSON MEDICAL PLLC",
            "city": "WILLIAMSON",
            "state": "NY",
            "postal_code": "14589",
            "telephone_number": "315-589-4641",
            "fax_number": "315-589-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4418 RIDGE RD E",
            "address_2": "WILLAMSON MEDICAL PLLC",
            "city": "WILLIAMSON",
            "state": "NY",
            "postal_code": "14589",
            "telephone_number": "315-589-4641",
            "fax_number": "315-589-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSON MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "PERSAUD",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER MD",
        "authorized_official_telephone_number": "315-589-4641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE",
            "identifier": "G0180451260",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02329519",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Mackay Wang, RN
• Wayne Regional Orthopaedics PLLC
• Suzanna E Weser, FNP
• Williamson Central School District
• Williamson Dental Care
• Williamson Pharmacy LLC
• Williamson Volunteer Ambulance Service Inc
• Amanda Wilson
• Joseph Paul Wilson, D.C.
• Shaughna Szymanski Winslow, DDS

• Internal Medicine Physician in Williamson, NY
• Providers in Williamson, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.