Provider Demographics
NPI:1790096709
Name:WILLIAMS, ASHLEY PAIGE (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:PAIGE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13914 SOUTHEASTERN PKWY STE 208
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-7125
Mailing Address - Country:US
Mailing Address - Phone:317-415-9900
Mailing Address - Fax:317-415-9910
Practice Address - Street 1:13914 SOUTHEASTERN PKWY STE 208
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-7125
Practice Address - Country:US
Practice Address - Phone:317-415-9900
Practice Address - Fax:317-415-9910
Is Sole Proprietor?:No
Enumeration Date:2010-06-24
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01070976A207Q00000X
IN11015518A390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000822084OtherANTHEM PROVIDER NUMBER
IN201061590Medicaid
INP01275206Medicare PIN
IN815500028Medicare PIN