Individual provider Active NPI

Mark Carl Williams, M.D.

  • Maternal & Fetal Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1932183951
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
ME50517 Issued in FL
Practice address
9981 Healthpark Circle
Suite 159
Fort Myers, FL 33908
Phone
(239) 481-5477
Fax
(239) 481-5892
NPI assigned
Dec 2, 2005
Last updated
Sep 8, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X ME50517 FL Primary

Addresses

Primary practice location

9981 Healthpark Circle
Suite 159
Fort Myers, FL 33908

Mailing address

9981 Health Park Circle
Suite 159
Fort Myers, FL 33908
Phone (239) 481-5477

Other identifiers 1

IdentifierTypeStateIssuer
046651400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040301001115 FL Practitioner - Obstetrics/Gynecology 3678460078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Minnesota Medical School, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pediatrix Medical Group of Florida IncGroup PAC ID 4486634417, 37 clinicians

Practice addresses (Care Compare)

1901 SW 172 Ave
Miramar, FL 33029-5592
Phone (954) 538-5000

2721 Del Prado Blvd S
Suite 260
Cape Coral, FL 33904-5710
Phone (239) 333-1240

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of Florida Inc Maternal & Fetal Medicine CurrentSince Aug 13, 2016 Accepting new patients
Maternal Fetal Medicine of Southwest Florida PA Maternal & Fetal Medicine Past Accepting new patients
DRS Angel Morales Kalter Ramos-Santos Fontenot MDS PA Maternal & Fetal Medicine Past Accepting new patients

Locations

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

8890 Gladiolus Dr
Fort Myers, FL 33908
Phone (239) 481-5477

3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

12969 S US 301
Riverview, FL 33578
Phone (813) 971-6909

1300 Sawgrs Corp Pkwy
Ste 200
Sunrise, FL 33323
Phone (954) 384-0175

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mark.williamsmd.p82@direct.mednax.nextgenshare.com

Organizations & group practices 3

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": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1932183951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9981 HEALTH PARK CIRCLE",
            "address_2": "SUITE 159",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33908",
            "telephone_number": "239-481-5477",
            "fax_number": "239-481-5892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9981 HEALTHPARK CIRCLE",
            "address_2": "SUITE 159",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33908",
            "telephone_number": "239-481-5477",
            "fax_number": "239-481-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARK",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "FL",
            "license": "ME50517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046651400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.