1. Home
  2. Directory
  3. Indiana
  4. Mishawaka
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

GAGE WILLIAMSON DO
NPI 1548919251
Student in an Organized Health Care Education/Training Program in Mishawaka, IN

Active since March 21, 2022PECOS Enrolled
611 E DOUGLAS RD STE 407, MISHAWAKA, IN 46545(574) 335-6500 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gage Williamson Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GAGE WILLIAMSON DO (NPI 1548919251) is an individual student in an organized health care education/training program in Mishawaka, Indiana and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Marian University College Of Osteopathic Medicine (2019).

NPPES Registry Identity

NPI1548919251
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGAGE WILLIAMSONCredential: DO
Location Address611 E DOUGLAS RD STE 407Mishawaka, IN 46545-1468
Mailing Address611 E Douglas Rd Ste 407Mishawaka, IN 46545-1468
Phone(574) 335-6500
Sole ProprietorNo
Medical School CMSMarian University College Of Osteopathic MedicineGraduated 2019
Enumeration DateMarch 21, 2022
NPPES CertifiedMarch 21, 2022
✔ NPI 1548919251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
611 E DOUGLAS RD STE 407, Mishawaka, IN 46545
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gage Williamson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648659425
PECOS Enrollment IDI20260611003857
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALLYSON BRIANNE BRUNET SLUSSER DO
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6500
MIRANDA MACFARLANE PHARMD
Pharmacist
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
St. Joseph County (574) 335-5000
PETER CARL CHRISTIAN BECK MD
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6500
JOSEPH ALAN STOLDT PHARMD
Pharmacist (Pharmacotherapy)
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6500
ANNIE WU DO
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6500
AMELLE CHRISTINE ALDURRA DO
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6500
MIA LAMBERT MD
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6500
THOMAS WAITES DO
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gage Williamson's NPI number?

The NPI number for Gage Williamson is 1548919251. It was assigned to this individual provider in the NPPES registry on March 21, 2022.

Where is Gage Williamson located?

Gage Williamson practices at 611 E Douglas Rd Ste 407, Mishawaka, IN 46545. The listed phone number is (574) 335-6500.

What is Gage Williamson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Gage Williamson enrolled in Medicare?

Yes. Gage Williamson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gage Williamson was last updated on March 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.