Active NPI
Sherman Anthony Williams, M.D.
- Gastroenterology Physician
- Lafayette, IN
National Provider Identifier
1912971383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 27105
- Practice address
- 3900 St Francis Way Ste 200
Lafayette, IN 47905 - Phone
- (765) 775-2800
- Fax
- (765) 775-2831
- NPI assigned
- Feb 14, 2006
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 01033457A | IN | |
| Gastroenterology Physician | 207RG0100X | 27105 | IA | Primary |
Addresses
Primary practice location
3900 St Francis Way Ste 200
Lafayette, IN 47905
Mailing address
1040 Sierra Dr Ste 400
Greenwood, IN 46143-7241
Phone (317) 528-4800
Other practice location 1
1223 S Gear Ave
Eastman Plaza #205
West Burlington, IA 52655-1682
Phone (319) 752-1502
Other practice location 2
1223 S Gear Ave
Eastman Plaza #205
West Burlington, IA 52655-1682
Phone (319) 752-1502
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27445 | Other | IA | WELLMARK OF IOWA |
| 0274456 | Medicaid | IA | |
| 300000160 | Medicaid | IN | |
| 01033457A | Other | IN | LICENSE |
| 13734880 | Other | CAQH | |
| 27105 | Other | IA | STATE LICENSE |
| 000001072315 | Other | ANTHEM | |
| C27445 | Other | IA | WORK COMPENSATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27105 | IA | MD | Gastroenterology Physician |
| 01033457A | IN | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1912971383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 SIERRA DR STE 400",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461437241",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 ST FRANCIS WAY STE 200",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "47905",
"telephone_number": "765-775-2800",
"fax_number": "765-775-2831"
}
],
"practiceLocations": [
{
"address_1": "1223 S Gear Ave",
"address_2": "Eastman Plaza #205",
"address_purpose": "LOCATION",
"city": "West Burlington",
"state": "IA",
"postal_code": "526551682",
"country_code": "US",
"telephone_number": "319-752-1502",
"fax_number": "319-752-4152",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1223 S Gear Ave",
"address_2": "Eastman Plaza #205",
"address_purpose": "LOCATION",
"city": "West Burlington",
"state": "IA",
"postal_code": "526551682",
"country_code": "US",
"telephone_number": "319-752-1502",
"fax_number": "319-752-4152",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "SHERMAN",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IN",
"license": "01033457A",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IA",
"license": "27105",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK OF IOWA",
"identifier": "27445",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0274456",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300000160",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "01033457A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13734880",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "27105",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000001072315",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORK COMPENSATION",
"identifier": "C27445",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.