DR. CARL MARC WILLIAMS (NPI# 1003971490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003971490 |
| Entity Type | Individual |
| Full Name | DR. CARL MARC WILLIAMS |
| Credential | M.D. |
| Practice Address |
1001 E Primrose St Springfield MO 65807-5155 |
| Mailing Address |
20 Deran Dr Sabattus ME 04280-4815 |
| Practice Telephone | 4178753000 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2008-10-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
MD434996 | PA | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
01064129A | IN | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
016380 | ME | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MD434996 | PA | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
01064129A | IN | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
016380 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | FIRST PRIORITY HEALTH | 823273 | 01 |
| IN | ANTHEM PROVIDER NUMBER | 000000528048 | 01 |
| IN | PHCS PID NUMBER | PENDING | 01 |
| IN | 200869120 | 05 | |
| PA | 1021751160001 | 05 | |
| PA | HIGHMARK BLUE SHIELD | 2051760 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568975357 | Carl Williams | Counselor | 833 Chieff Eddie Hoffman Hwy, Bethel, AK 99559 | 2017-11-15 |
| 1245699883 | Carl M Williams | Counselor | 1655 Standard St, Baton Rouge, LA 70807-3042 | 2016-02-10 |
| 1366719056 | Carl Hilton Williams | Emergency Medical Technician, Basic | 1957 N Ardenwood Dr, Apt 6072, Baton Rouge, LA 70806-1632 | 2011-11-23 |
| 1780833533 | Carl Robert Williams Jr. | Physician Assistant | 315 Cameron Trl, Lakehills, TX 78063-6262 | 2008-09-17 |
| 1982804076 | Carl Hennessy Williams | Family Medicine | 400 E Pedregosa St, #b, Santa Barbara, CA 93103 | 2007-07-18 |
| 1912100686 | Carl Frederick Williams | Spec/Tech, Cardiovascular | 7350 S Tamiami Trl # 2, Pmb 239, Sarasota, FL 34231-7004 | 2007-06-08 |
| 1508086042 | Carl L Williams | Counselor | 4822 Campbell Rd, Las Cruces, NM 88007-6835 | 2007-04-26 |
| 1013136399 | Carl Williams | Chiropractor | 1978 Main St, Watsonville, CA 95076-3066 | 2007-04-24 |
| 1629173646 | Carl Felton Williams IIi | Dentist | 297 Medical Court, Oglethorpe, GA 31068 | 2006-09-14 |
| 1730403205 | Carl Williams | Counselor | 1491 Main St, Willimantic, CT 06226-1914 | 2010-03-26 |
| Street Address |
1001 E PRIMROSE ST |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-5155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013915792 | Robert Clayton Scanlon II | Urology | 1001 E Primrose St, Springfield, MO 65807-5155 | 2005-07-07 |
| 1619580537 | Nathaniel Levi Kenady | Nurse Practitioner | 1001 E Primrose St, Springfield, MO 65807-5155 | 2020-08-29 |
| 1891343893 | Connie J Garrett | Dietitian, Registered | 1001 E Primrose St, Springfield, MO 65807-5155 | 2019-09-03 |
| 1689236085 | Lindsey Joy Gelber | Dietitian, Registered | 1001 E Primrose St, Springfield, MO 65807-5155 | 2019-07-05 |
| 1174186654 | Stephenie Michele Zinter | Nurse Practitioner | 1001 E Primrose St, Springfield, MO 65807-5155 | 2019-04-19 |
| 1215495650 | Mikel Dashtipour | Physician Assistant | 1001 E Primrose St, Springfield, MO 65807-5155 | 2019-03-05 |
| 1043774789 | Arielle M Campbell | Physician Assistant | 1001 E Primrose St, Springfield, MO 65807-5155 | 2019-01-28 |
| 1649755919 | Stephanie Lynn Brown | Nurse Practitioner | 1001 E Primrose St, Springfield, MO 65807-5155 | 2018-10-02 |
| 1114401312 | Teresa Cunningham | Nurse Practitioner | 1001 E Primrose St, Springfield, MO 65807-5155 | 2018-09-24 |
| 1336629120 | Katelynne D Haun | Nurse Practitioner | 1001 E Primrose St, Springfield, MO 65807-5155 | 2018-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659313823 | Peter White Jr. | Internal Medicine | 751 N Rutledge St Rm 2100, Springfield, IL 62702-4968 | 2006-06-12 |
| 1558309898 | John R. Carlile | Internal Medicine | 1000 E. Primrose, #200, Springfield, MO 65807-5388 | 2006-06-02 |
| 1134166317 | Moin Ahmed Ranginwala | Internal Medicine | 2029 East High Street, Suite 101, Springfield, OH 45505 | 2006-05-31 |
| 1558311126 | Donald G Gumprecht | Internal Medicine | 543 W Miller St, Springfield, IL 62702-4978 | 2006-05-12 |
| 1083604870 | Chih Ming Chen | Internal Medicine | 2150 Main St, Springfield, MA 01104-3300 | 2005-10-24 |
| 1700275385 | Keivan Shalileh | Internal Medicine | 751 N Rutledge St, Springfield, IL 62702-4968 | 2015-01-20 |
| 1841608890 | Mohammad E Abu Hishmeh | Internal Medicine | 3300 Main Street, 2nd Fl, Suite B, Springfield, MA 01107-1112 | 2014-07-22 |
| 1316353428 | Debdoot Saha | Internal Medicine | 800 E Carpenter St, Springfield, IL 62769 | 2014-07-09 |
| 1528473758 | Ammar Syed | Internal Medicine | 1235 E Cherokee St Rm 194, Springfield, MO 65804-2203 | 2014-06-26 |
| 1710397781 | Olaoluwatomi Kehinde Lamikanra | Internal Medicine | 701 N 1st St, Springfield, IL 62781-0001 | 2014-04-30 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.