R. Mark Williams MD Apmc

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

016891 Issued in LA

Legal business name

R. MARK WILLIAMS MD APMC

Practice address

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

Phone

(337) 477-6172

Fax

(337) 477-1422

NPI assigned

Jun 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Roger Mark Williams, MD

Title

Physician/Owner

Phone

(337) 477-6172

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

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

• Aimee Armetta, AU.D., CCC-A

  • Audiologist
  • Fort Polk, LA
  • NPI 1861670374
  NPD (past)
• Ramgopal S. Nileshwar, M.A., CCC-A, FAAA

  • Audiologist-Hearing Aid Fitter
  • Lake Charles, LA
  • NPI 1023231628
  NPD (past)

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1912168014",
    "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": {
        "organization_name": "R. MARK WILLIAMS MD APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "337-477-6172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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": "BLUE CROSS BLUE SHIELD",
            "identifier": "4369092740",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• R & J Lewis LLC
• R & J Lewis LLC
• R & K Wellness LLC
• R Dale Bernauer MD Apmc
• R N G Medical Supplies
• Mary Jean Rabalais
• Brandon Lee Racca, D.C.
• Mariel J Racca, NP-C
• Blair Nicole Rachal
• Eric Spencer Rachal, APRN, PMHNP-BC

• 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 Jun 21, 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.