Provider Demographics
NPI:1083710370
Name:WILLIAMS, TOYE GC (MD)
Entity Type:Individual
Prefix:
First Name:TOYE
Middle Name:GC
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 92917
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44194-2917
Mailing Address - Country:US
Mailing Address - Phone:216-472-2730
Mailing Address - Fax:216-472-2740
Practice Address - Street 1:11201 SHAKER BLVD
Practice Address - Street 2:SUITE 328
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44104-2917
Practice Address - Country:US
Practice Address - Phone:216-881-5055
Practice Address - Fax:216-881-5855
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.064135207R00000X
OH35-064135207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHF15238Medicare UPIN