CANDYCE WILLIAMS MD NPI 1114991155

NPI Information

NPI: 1114991155
Provider Name: CANDYCE WILLIAMS, MD
Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
444 W OSBORN RD STE 200
PHOENIX, AZ
ZIP 85013
Phone: (602) 806-7610
Get Directions

Candyce Williams, MD is a rehabilitation practitioner in Phoenix, AZ with 43 years of experience. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. Candyce Williams, MD NPI is 1114991155. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1981

The provider's business location address is:

444 W OSBORN RD STE 200
PHOENIX, AZ
ZIP 85013-817
Phone: (602) 806-7610
Fax: (602) 704-6054

The NPI 1114991155 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 2/15/2006 and was last updated on 6/10/2021.

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	207R00000X	Internal Medicine		21064	ARIZONA	No
2	225400000X	Rehabilitation Practitioner		21064	ARIZONA	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	117467	MEDICAID	ARIZONA

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: 4/28/2024

NPI Synchronization or Removal

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