Organization Active NPI

Candyce Williams MD, P L C

  • Physical Medicine & Rehabilitation Physician
  • Phoenix, AZ
National Provider Identifier
1841886967
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
CANDYCE WILLIAMS MD, P L C
Practice address
444 W Osborn Rd Ste 200
Phoenix, AZ 85013-3817
Phone
(602) 806-7610
Fax
(602) 704-6005
NPI assigned
Dec 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Authorized official

Name
Candyce Williams, MDNPI 1114991155
Title
Owner
Phone
(602) 806-7610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

444 W Osborn Rd Ste 200
Phoenix, AZ 85013-3817

Mailing address

PO Box 15667
Phoenix, AZ 85060-5667
Phone (602) 806-7610

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22679/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1841886967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15667",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850605667",
            "telephone_number": "602-806-7610",
            "fax_number": "602-704-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 W OSBORN RD STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133817",
            "telephone_number": "602-806-7610",
            "fax_number": "602-704-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDYCE WILLIAMS MD, P L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-13",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CANDYCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-806-7610",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.