Provider Demographics
NPI:1275565186
Name:WILLIAMS, BARBARA (MD)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 74628
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44194-0711
Mailing Address - Country:US
Mailing Address - Phone:440-646-2200
Mailing Address - Fax:440-646-2209
Practice Address - Street 1:3909 ORANGE PLACE
Practice Address - Street 2:SUITE 3300
Practice Address - City:ORANGE VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44122
Practice Address - Country:US
Practice Address - Phone:216-378-4144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35069516207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000305455OtherANTHEM BLUE CROSS/BLUE SH
OH2202093Medicaid
OHP00045192OtherRAILROAD MEDICARE
OH2028896OtherUNITED HEALTHCARE
OH7085130OtherAETNA
OH2202093Medicaid
OH000000305455OtherANTHEM BLUE CROSS/BLUE SH
OHH15235Medicare UPIN