Healthcare Provider Details

I. General information

NPI: 1851734479
Provider Name (Legal Business Name): ELAINA WILLIAMS D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2013
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5595 TRANSPORTATION BLVD
GARFIELD HEIGHTS OH
44125-5379
US

IV. Provider business mailing address

5595 TRANSPORTATION BLVD
GARFIELD HEIGHTS OH
44125-5379
US

V. Phone/Fax

Practice location:
  • Phone: 216-518-4633
  • Fax: 216-518-4632
Mailing address:
  • Phone: 216-518-4633
  • Fax: 216-518-4632

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number34011914
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: