Individual provider Active NPI

Gary A Williams, MD

  • Orthopaedic Surgery Physician
  • Schenectady, NY
National Provider Identifier
1972594349
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
112976 Issued in NY
Practice address
530 Liberty St
Schenectady, NY 12305-2014
Phone
(518) 382-7200
Fax
(518) 382-7205
NPI assigned
Nov 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 112976 NY Primary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 112976 NY
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 112976 NY
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 112976 NY

Addresses

Primary practice location

530 Liberty St
Schenectady, NY 12305-2014

Mailing address

121 Everett Rd
Albany, NY 12205-1447
Phone (518) 453-9088

Other identifiers 1

IdentifierTypeStateIssuer
00538550MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20051017000780 NY Practitioner - Orthopedic Surgery 8820077795 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
112976NYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedicsny, LLP Orthopaedic Surgery CurrentSince Jul 1, 2014 Accepting new patients
Orthopedicsny, LLP CurrentSince Jul 1, 2014 Accepting new patients

Locations

121 Everett Rd
Colonie, NY 12205

103 Sitterly Rd
Ste 2400
Halfmoon, NY 12065
Phone (518) 373-1436

530 Liberty St
Schenectady, NY 12305
Phone (518) 382-7200

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1972594349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 EVERETT RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051447",
            "telephone_number": "518-453-9088",
            "fax_number": "518-689-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 LIBERTY ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123052014",
            "telephone_number": "518-382-7200",
            "fax_number": "518-382-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "GARY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "112976",
            "primary": true
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "NY",
            "license": "112976",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "NY",
            "license": "112976",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NY",
            "license": "112976",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00538550",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.