Individual
DR. CARL M WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11104 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845-1672
(260) 373-9700
(260) 373-9740
Mailing address
3400 MINISTRY PKWY, WESTON, WI 54476-5220
(715) 393-1000
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01064129A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
016380
ME
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
60181-20
WI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD434996
PA
207RP1001X
Pulmonary Disease Physician
01064129A
IN
207RP1001X
Pulmonary Disease Physician
016380
ME
207RP1001X
Pulmonary Disease Physician
60181
WI
207RP1001X
Pulmonary Disease Physician
60181-20
WI
207RP1001X
Pulmonary Disease Physician
MD434996
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000528048
ANTHEM PROVIDER NUMBER
IN
05
—
1003971490
—
WI
05
—
1021751160001
—
PA
05
—
200869120
—
IN
01
—
2051760
HIGHMARK BLUE SHIELD
PA
01
—
823273
FIRST PRIORITY HEALTH
PA
01
—
PENDING
PHCS PID NUMBER
IN
Enumeration date
12/26/2006
Last updated
05/14/2026
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