NPI Code Details Logo

NPI 1912971383

NPI 1912971383 : SHERMAN ANTHONY WILLIAMS M.D. : LAFAYETTE, IN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1912971383
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    SHERMAN ANTHONY WILLIAMS M.D.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/14/2006
-----------------------------------------------------
    Last Update Date     |    03/07/2023
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3900 ST FRANCIS WAY STE 200 
-----------------------------------------------------
    City                 |    LAFAYETTE
-----------------------------------------------------
    State                |    IN
-----------------------------------------------------
    Zip                  |    47905
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    765-775-2800
-----------------------------------------------------
    Fax                  |    765-775-2831
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1040 SIERRA DR STE 400 
-----------------------------------------------------
    City                 |    GREENWOOD
-----------------------------------------------------
    State                |    IN
-----------------------------------------------------
    Zip                  |    46143-7241
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    317-528-4800
-----------------------------------------------------
    Fax                  |    317-865-1479
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207RG0100X
-----------------------------------------------------
    Taxonomy Name        |    Gastroenterology Physician
-----------------------------------------------------
    License Number       |    01033457A
-----------------------------------------------------
    License Number State |    IN
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207RG0100X
-----------------------------------------------------
    Taxonomy Name        |    Gastroenterology Physician
-----------------------------------------------------
    License Number       |    27105
-----------------------------------------------------
    License Number State |    IA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.