MEDICARE: ERIC WILLIAMS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080P0203X	Pediatric Critical Care Medicine Physician	K7230	TX
2	2080P0203X	Pediatric Critical Care Medicine Physician	35.149112	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447330790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC WILLIAMS MD

Provider Business Mailing Address
First Line	:	3333 BURNET AVE
Second Line	:	ML 2005
City	:	CINCINNATI
State	:	OH
Zip	:	45229
Country	:	US
Telephone Number	:	513-636-4259
Fax Number	:	513-636-4267

Provider Business Practice Location Address
First Line	:	3333 BURNET AVE
Second Line	:	ML 2005
City	:	CINCINNATI
State	:	OH
Zip	:	45229
Country	:	US
Telephone Number	:	513-636-4259
Fax Number	:	513-636-4267

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	08/16/2023

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Directions to “ ERIC WILLIAMS MD” Practice Location

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