Individual provider Active NPI

Perry Swintz Williams, M.D.

  • Radiation Oncology Physician
  • Lima, OH
National Provider Identifier
1932177268
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
35125681 Issued in OH
Practice address
803 W Market St
Suite 100
Lima, OH 45805-2796
Phone
(419) 996-5063
Fax
(419) 996-5502
NPI assigned
Mar 11, 2006
Last updated
Jul 27, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MA25MA07298200 NJ
Radiation Oncology Physician 2085R0001X 1827981 NY
Radiation Oncology Physician 2085R0001X 35125681 OH Primary

Addresses

Primary practice location

803 W Market St
Suite 100
Lima, OH 45805-2796

Mailing address

PO Box 636930
Cincinnati, OH 45263-6930

Other identifiers 2

IdentifierTypeStateIssuer
0127134MedicaidOH
8880603MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20040422000866 NJ Practitioner - Radiation Oncology 9638165970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA25MA07298200NJMDRadiation Oncology Physician
1827981NYMDRadiation Oncology Physician
35125681OHMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Associates Ocean Co Radiation Oncology Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Jersey Shore Brachytherapy P a Radiation Oncology Past Accepting new patients
Yonkers Radiation Medical Practice, PC Radiation Oncology Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1932177268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636930",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 W MARKET ST",
            "address_2": "SUITE 100",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052796",
            "telephone_number": "419-996-5063",
            "fax_number": "419-996-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "PERRY",
        "middle_name": "SWINTZ",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-11",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NJ",
            "license": "MA25MA07298200",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "1827981",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": "35125681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0127134",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8880603",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.