Irving C Williams II, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101236873 Issued in VA

Practice address

7915 Lake Manassas Dr
#209
Gainesville, VA 20155-3258

Phone

(571) 248-0679

Fax

(571) 261-9549

NPI assigned

Jan 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: irvingwilliams@watoto.nablemd.direct-ci.com

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.

• Watoto Pediatric & Adolescent Specialty, LLC

  • Pediatrics Physician
  • Gainesville, VA
  • NPI 1457585481
  NPD (past) Authorized official

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1992785489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7915 LAKE MANASSAS DR",
            "address_2": "#209",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553258",
            "telephone_number": "571-248-0679",
            "fax_number": "571-261-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7915 LAKE MANASSAS DR",
            "address_2": "#209",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553258",
            "telephone_number": "571-248-0679",
            "fax_number": "571-261-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "IRVING",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101236873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010103592",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kami Renee Whitney, PA-C
• William and Teresa Medical Care Inc
• William and Teresa Medical Care, Inc
• Anastasia L Williams, MD
• Chamika Lachaun Williams
• Rebekah Lileen Williams, DDS
• Alexis Wilson, D.D.S.
• Windward Optimal Health, LLC
• Adam B. Winick, M.D.
• Robert L Woelkers, DPT, PT, CSCS

• Pediatrics Physician in Gainesville, VA
• Providers in Gainesville, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.