1275696015 NPI number — DR. EDWIN SAXTON WILLIAMS M.D.

Table of content: ALISSA R GOULD DC (NPI 1245795137)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275696015 NPI number — DR. EDWIN SAXTON WILLIAMS M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WILLIAMS
Provider First Name:
EDWIN
Provider Middle Name:
SAXTON
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275696015
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/26/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 75492
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BALTIMORE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21275-5492
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-773-3752
Provider Business Mailing Address Fax Number:
240-425-4636

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3300 PENNSYLVANIA AVE SE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20020-2408
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-583-1194
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  MD21688 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 034353100 , issued by the state of ( DC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2214570 . This is a "AETNA" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: 865344 . This is a "MAMSI" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: 68715705 . This is a "BCBS OF MD" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 820901400 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8702-0030 . This is a "BCBS" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com