Active NPI
Calvin Ryan Williams
- Obstetrics & Gynecology Physician
- Oak Ridge, TN
National Provider Identifier
1932664414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 0000005206
- Practice address
- 988 Oak Ridge Tpke Ste 140
Oak Ridge, TN 37830-6919 - Phone
- (865) 483-7415
- NPI assigned
- Feb 8, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 0000005206 | TN | Primary |
Addresses
Primary practice location
988 Oak Ridge Tpke Ste 140
Oak Ridge, TN 37830-6919
Mailing address
300 S Tulane Ave Apt 1203
Oak Ridge, TN 37830-6772
Phone (646) 647-0514
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15885362 | Other | CAQH PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Lincoln Memorial University Medical Department, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
988 Oak Ridge Tpke
Suite 140
Oak Ridge, TN 37830-6919
Phone 8654837415122
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000005206 | TN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obstetric & Gyncologic Assocs of Oak Ridge | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
988 Oak Ridge Tpke
Ste 140
Oak Ridge, TN 37830
Phone (423) 483-7415
Interoperability endpoints
- calvin.williams@tn046.digichart.direct-ci.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Oak Ridge, TN
- NPI 1639269822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1932664414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S TULANE AVE APT 1203",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306772",
"telephone_number": "646-647-0514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "988 OAK RIDGE TPKE STE 140",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306919",
"telephone_number": "865-483-7415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CALVIN",
"middle_name": "RYAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-08",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TN",
"license": "0000005206",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH PROVIDER ID",
"identifier": "15885362",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.