Provider Demographics
NPI:1962566059
Name:WILLIAMS, KARL EDWARD (MD)
Entity type:Individual
Prefix:DR
First Name:KARL
Middle Name:EDWARD
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5825 MARLBOROUGH RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-1415
Mailing Address - Country:US
Mailing Address - Phone:412-261-5544
Mailing Address - Fax:724-752-6871
Practice Address - Street 1:724 PERSHING ST
Practice Address - Street 2:ELLWOOD CITY HOSPITAL
Practice Address - City:ELLWOOD CITY
Practice Address - State:PA
Practice Address - Zip Code:16117-1474
Practice Address - Country:US
Practice Address - Phone:724-752-6710
Practice Address - Fax:724-752-6871
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD016783E207ZF0201X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology
Not Answered207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0010350000005Medicaid
158590Medicare ID - Type Unspecified
PA0010350000005Medicaid