C B WILLIAMSON (NPI# 1043690902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043690902 |
| Entity Type | Organization |
| Organization Name | C B WILLIAMSON |
| Other Organization Name | HALIFAX ORTHOPEDIC ASSOCIATES |
| Practice Address |
3635 S Clyde Morris Blvd Ste 600 Port Orange FL 32129-2300 |
| Practice Telephone | 3867602888 |
| Practice Fax Number | 3867608866 |
| Mailing Telephone | 3867602888 |
| Mailing Fax Number | 3867608866 |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-06-05 |
| Authorized Official Name | CHARLES B WILLIAMSON (SOLE PROPRIETOR) |
| Authorized Official Telephone | 3867602888 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | ME33731 | FL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Halifax Orthopedic Associates | Doing Business As Name - Organization |
| Street Address |
3635 S CLYDE MORRIS BLVD STE 600 |
| City | PORT ORANGE |
| State | FL |
| Zip Code | 32129-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033116975 | Gregory J. Stella | Internal Medicine | 3635 S Clyde Morris Blvd, Ste 100, Port Orange, FL 32129-2300 | 2005-07-07 |
| 1487050365 | Michel C. Samson, M.d., F.a.c.s., Pllc | Plastic Surgery | 3635 S Clyde Morris Blvd, Suite 400, Port Orange, FL 32129-2300 | 2014-11-05 |
| 1043654270 | Amsurg Port Orange Anesthesia, LLC | Anesthesiology | 3635 S Clyde Morris Blvd, Suite 500, Port Orange, FL 32129-2300 | 2013-04-18 |
| 1871849133 | Dorothy Whatley Porter | Physician Assistant | 3635 S Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2300 | 2012-07-24 |
| 1578836003 | C. Lawrence Slade, M.d., F.a.c.s., LLC | Specialist | 3635 S Clyde Morris Blvd, Suite 400, Port Orange, FL 32129-2300 | 2012-02-14 |
| 1841596327 | Srikanth Eathiraju | Orthopaedic Surgery | 3635 S Clyde Morris Blvd, Suite 900, Port Orange, FL 32129-2300 | 2011-02-01 |
| 1043520554 | C Lawrence Slade Md Facs LLC | Plastic Surgery | 3635 S Clyde Morris Blvd, Suite 400, Port Orange, FL 32129-2300 | 2010-10-18 |
| 1265693568 | Sarah E Henry | Orthopaedic Surgery | 3635 S Clyde Morris Blvd, Suite 900, Port Orange, FL 32129-2300 | 2008-06-19 |
| 1356519417 | Joanna Elizabeth Stoverink | Physician Assistant | 3635 S Clyde Morris Blvd, Ste 100, Port Orange, FL 32129-2300 | 2008-02-12 |
| 1740494210 | Daytona Beach Hand Clinic Inc | Durable Medical Equipment & Medical Supplies | 3635 S Clyde Morris Blvd, Suite 300, Port Orange, FL 32129-2300 | 2007-05-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982179818 | Port Orange Modern Dentistry, Pa | Dentist | 1765 Dunlawton Ave., Suite 103, Port Orange, FL 32129 | 2018-10-08 |
| 1932698131 | Brittany Michele Claude | Behavioral Analyst | 4647 Clyde Morris Blvd Suite 501, Port Orange, FL 32129 | 2018-05-03 |
| 1760919468 | Makayla Earl | Behavior Technician | 1557 Town Park Dr., Port Orange, FL 32129 | 2017-05-12 |
| 1184157968 | Katie Lynn Weisz | Physician Assistant | 3635 South Clyde Morris Blvd, Suite 100, Port Orage, FL 32129 | 2017-04-07 |
| 1285178319 | Mallory Driggers | Counselor | 980 Canal View Blvd Apt F7, Port Orange, FL 32129 | 2016-12-08 |
| 1912321654 | Edward L. Staudt Dds & Kenneth L. Staudt Dds, Mph | Dentist | 944 Bridgewater Dr., Suite 2-b, Port Orange, FL 32129 | 2014-02-18 |
| 1538411731 | Roberta Ann Gilmartin | Specialist | 1048 W Samms Ave, Port Orange, FL 32129 | 2012-10-11 |
| 1679892996 | Pamela Kirby Pa | Clinic/Center | 4606 South Clyde Morris Boulevard, Suite 1j, Port Orange, FL 32129 | 2010-05-26 |
| 1326376385 | Connie Jeanne Bodnarik | Physical Therapy Assistant | 3780 S Clyde Morris Blvd Apt 1206, Port Orange, FL 32129 | 2009-12-02 |
| 1669645057 | American Family & Sports Chiropractic Center Inc | Chiropractor | 4649 Clyde Morris Blvd Unit 609, Port Orange, FL 32129 | 2008-04-08 |
| Find all providers in zip 32129 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174537625 | Charles B Williamson | Orthopaedic Surgery | 3635 Clyde Morris Blvd, Suite 600, Port Orange, FL 32129-2353 | 2006-07-28 |
| 1134112592 | Srinivasa Sridhar | Orthopaedic Surgery | 1400 Dunlawton Ave, Suite 1a, Port Orange, FL 32127-8952 | 2005-08-31 |
| 1063965325 | Orthopaedic Clinic of Daytona Beach Pa | Orthopaedic Surgery | 1165 Dunlawton Ave, Suite 102, Port Orange, FL 32127-2924 | 2016-08-03 |
| 1265693568 | Sarah E Henry | Orthopaedic Surgery | 3635 S Clyde Morris Blvd, Suite 900, Port Orange, FL 32129-2300 | 2008-06-19 |
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| 1659980654 | Gulfcoast Spine Institute, Pa | Orthopaedic Surgery | 439 S Florida Ave Ste 300, Lakeland, FL 33801-5212 | 2020-07-24 |
| 1659998904 | Orthopaedic Associates, Pa | Orthopaedic Surgery | 5300 S Ferdon Blvd, Crestview, FL 32536-5235 | 2020-07-02 |
| 1912529868 | Edward Frank Spievack | Orthopaedic Surgery | 30 W High Point Rd, Stuart, FL 34996-7020 | 2020-05-14 |
| 1497377907 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 11286 Boyett Rd, Suite 101, Riverview, FL 33569 | 2020-05-07 |
| 1942829429 | Orthopaedic Specilaists of The Palm Beaches | Orthopaedic Surgery | 130 Jfk Dr Ste 136, Atlantis, FL 33462-6631 | 2020-04-14 |
| 1174156848 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 10141 Big Bend Rd Ste 201, Riverview, FL 33578-7421 | 2020-02-20 |
| 1104459874 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 1901 Haverford Ave Ste 107, Sun City Center, FL 33573-5200 | 2020-02-20 |
| 1518590314 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 8839 Bryan Dairy Rd Ste 240, Largo, FL 33777-1208 | 2020-02-20 |
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| City | PORT ORANGE |
| Zip Code | 32129 |
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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.