# DIABETES & ENDOCRINOLOGY ASSOC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144236969
- **Authorized official:** DR. TIMOTHY C WILLIAMS MD (PRESIDENT)
- **Authorized official phone:** (513) 861-0012

## Contact information

- **Practice address:** 4360 COOPER RD, STE 201, CINCINNATI, OH 45242
- **Practice address phone:** (513) 861-0012
- **Practice address fax:** (513) 861-2220
- **Mailing address:** 4360 COOPER RD, STE 201, CINCINNATI, OH 45242
- **Mailing address phone:** (513) 861-0012
- **Mailing address fax:** (513) 861-2220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/01/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0929565 | AETNA HEALTH CARE | — |
| 01 | — | 1052453 | MEDICAID | KY |
| 05 | — | 2086755 | — | OH |
| 01 | — | CL1292 | RAILROAD MEDICARE | OH |