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Derrick Jose Williams

Homemaker β€’ Canton, OH

Active NPI 1780370825 Individual Practitioner Male Practitioner
Practice location in NPPES

2013 7th St Ne
Canton, OH 447041969

Call 3302320379 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2013 7th St Ne

Canton, OH 447041969

Telephone 3302320379

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Canton and Ohio

114 active clinicians are listed under Homemaker with a practice address in Canton, OH (6,879 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Canton

0% of these 114 clinicians have the CMS telehealth indicator.

0% of these 114 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-09-15
Private Vehicle Primary Specialty

NUCC Taxonomy Code: 347C00000X

License # reported to NPPES OH RP085271

An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

Home Delivered Meals

NUCC Taxonomy Code: 332U00000X

License # reported to NPPES OH RP085271

Home-delivered meals are those services or activities designed to prepare and deliver one or more meals a day to an individual's residence in order to prevent institutionalization, malnutrition, and feelings of isolation. Component services or activities may include the cost of personnel, equipment, and food; assessment of nutritional and dietary needs; nutritional education and counseling; socialization services; and information and referral.

Homemaker

NUCC Taxonomy Code: 376J00000X

License # reported to NPPES OH RP085271

An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

Respite Care

NUCC Taxonomy Code: 385H00000X

License # reported to NPPES OH RP085271
Respite Care - Respite Care, Mental Illness, Child

NUCC Taxonomy Code: 385HR2055X

License # reported to NPPES OH RP085271

A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.

Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child

NUCC Taxonomy Code: 385HR2060X

License # reported to NPPES OH RP085271

A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2023

Home Delivered Meals (license number reported to NPPES: OH RP085271)

βœ…
NPI Profile Active April 12, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 12, 2023

Registered at 2013 7TH ST NE, CANTON, OH 447041969 (Tel: 3302320379)

πŸ“
Business Mailing Address (Initial Record) April 12, 2023

Registered at 2013 7TH ST NE, CANTON, OH 447041969 (Tel: 3302320379)

πŸ‘€
Provider Name / Credentials (Initial Record) April 12, 2023

Recorded as DERRICK WILLIAMS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2023

Private Vehicle (license number reported to NPPES: OH RP085271)

🟒
Initial NPI Registration & Enumeration April 12, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1780370825
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2023
Last Update: September 15, 2023
Sole Proprietor: Yes

Mailing Address

2013 7th St Ne

Canton, OH 447041969

Phone: 3302320379

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.