DR. CARL MARC WILLIAMS M.D. NPI 1003971490

NPI Information

NPI: 1003971490
Provider Name: DR. CARL MARC WILLIAMS, M.D.
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

Address:
11104 PARKVIEW CIRCLE DR
FORT WAYNE, IN
ZIP 46845
Phone: (260) 373-9700
Get Directions

DR. Carl Marc Williams, M.D. is a pulmonary disease internal medicine in Fort Wayne, IN with 29 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. DR. Carl Marc Williams, M.D. NPI is 1003971490. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduation Year:1995

The provider's business location address is:

11104 PARKVIEW CIRCLE DR
FORT WAYNE, IN
ZIP 46845-672
Phone: (260) 373-9700
Fax: (260) 373-9740

The NPI 1003971490 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/26/2006 and was last updated on 8/29/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0200X	Internal Medicine	Critical Care Medicine	016380	MAINE	No
2	207RC0200X	Internal Medicine	Critical Care Medicine	MD434996	PENNSYLVANIA	No
3	207RC0200X	Internal Medicine	Critical Care Medicine	60181-20	WISCONSIN	No
4	207RC0200X	Internal Medicine	Critical Care Medicine	01064129A	INDIANA	No
5	207RP1001X	Internal Medicine	Pulmonary Disease	016380	MAINE	No
6	207RP1001X	Internal Medicine	Pulmonary Disease	MD434996	PENNSYLVANIA	No
7	207RP1001X	Internal Medicine	Pulmonary Disease	60181	WISCONSIN	No
8	207RP1001X	Internal Medicine	Pulmonary Disease	60181-20	WISCONSIN	No
9	207RP1001X	Internal Medicine	Pulmonary Disease	01064129A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2051760	OTHER	PENNSYLVANIA	HIGHMARK BLUE SHIELD
2	200869120	MEDICAID	INDIANA
3	1003971490	MEDICAID	WISCONSIN
4	1021751160001	MEDICAID	PENNSYLVANIA
5	000000528048	OTHER	INDIANA	ANTHEM PROVIDER NUMBER
6	823273	OTHER	PENNSYLVANIA	FIRST PRIORITY HEALTH
7	PENDING	OTHER	INDIANA	PHCS PID NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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