MEDICARE: PERRY SWINTZ WILLIAMS M.D.

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	2085R0001X	Radiation Oncology Physician	MA25MA07298200	NJ
2	2085R0001X	Radiation Oncology Physician	1827981	NY
3	2085R0001X	Radiation Oncology Physician	35125681	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932177268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PERRY SWINTZ WILLIAMS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 636930
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-6930
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	803 W MARKET ST
Second Line	:	SUITE 100
City	:	LIMA
State	:	OH
Zip	:	45805-2796
Country	:	US
Telephone Number	:	419-996-5063
Fax Number	:	419-996-5502

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

Provider Enumeration Date	:	03/11/2006
Last Update Date	:	07/27/2016

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