Sara Marie Williams, AUD, CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

A.01999 Issued in OH

Practice address

630 W Main St Ste 105
Wilmington, OH 45177-2171

Phone

(937) 283-9888

Fax

(937) 283-2567

NPI assigned

Sep 17, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Sara Marie Distefano Former name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6237/brand/1/csg/1/fhir/r4

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.

• Wilmington Physicians Group LLC

  • Family Medicine Physician
  • Wilmington, OH
  • NPI 1932401411
  Medicare reassignment NPD

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1992107320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 W MAIN ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772170",
            "telephone_number": "937-283-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W MAIN ST STE 105",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772171",
            "telephone_number": "937-283-9888",
            "fax_number": "937-283-2567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Manning Dr",
            "address_2": "Department of PT/OT",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275144220",
            "country_code": "US",
            "telephone_number": "919-843-4479",
            "fax_number": "919-843-3280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SARA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "AUD, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-17",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "11129",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A.01999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "DISTEFANO",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "AUD, CCC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carl Whittenburg, CDCA
• Cherie Lindsay Whittington, R.N.
• Ross S Wickstrom, CNP
• Michael Travis Wildermuth, R.PH
• Blain Michael Williams, PT
• Jeffrey J Williamson
• Aleisha Willis, NP-C
• Wilmington Chiropractic and Wellness Center LLC
• Wilmington City Schools
• Wilmington Foot and Ankle Inc

• Audiologist in Wilmington, OH
• Providers in Wilmington, OH by specialty
• Audiologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.