FRED RANDALL WILLIAMS (NPI# 1073540670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073540670 |
| Entity Type | Individual |
| Full Name | FRED RANDALL WILLIAMS |
| Credential | ATC |
| Practice Address |
300 Columbia Ave Chapin SC 29036-9422 |
| Mailing Address |
244 Crooked Creek Rd Chapin SC 29036-9427 |
| Practice Telephone | 8035755416 |
| Practice Fax Number | 8035755421 |
| Mailing Telephone | 8033459981 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2011-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
055 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770518995 | Fred Aaron Williams | Obstetrics & Gynecology | 113 Gainsborough Square, Suite 201, Chesapeake, VA 23320 | 2006-07-12 |
| 1013987973 | Fred O. Williams | Emergency Medicine | 23500 Us Highway 160, Walsenburg, CO 81089-9524 | 2006-01-24 |
| 1427050137 | Fred Andrew Williams | Obstetrics & Gynecology | 1900 Fm 195, Paris, TX 75462-2821 | 2005-08-12 |
| 1033116454 | Fred C Williams Jr. | Neurological Surgery | 1200 Ne 48th Ave, Ste 1100, Hillsboro, OR 97124-4904 | 2005-06-30 |
| 1770752768 | Fred L Williams Jr. | Social Worker | 18954 James Couzens Fwy, Detroit, MI 48235-2516 | 2008-02-25 |
| 1316016421 | Fred Williams | Anesthesiology | 4500 13th St, Gulfport, MS 39501-2515 | 2006-11-06 |
| 1679565782 | Fred Wayne Williams | Obstetrics & Gynecology | 1450 Parkside Ave, Suite 10, Trenton, NJ 08638-2946 | 2005-08-16 |
| 1386644326 | Fred Harrison Williams | Internal Medicine | 121 Saint Lukes Center Dr, Suite 406, Chesterfield, MO 63017-3509 | 2005-07-29 |
| 1750380671 | Fred Andrew Williams Jr. | Emergency Medicine | 2500 Hospital Drive, Martinsburg, WV 25401 | 2005-07-21 |
| Street Address |
300 COLUMBIA AVE |
| City | CHAPIN |
| State | SC |
| Zip Code | 29036-9422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114381001 | Marci Mcleod | Specialist/Technologist | 300 Columbia Ave, Chapin, SC 29036-9422 | 2016-04-07 |
| 1881028678 | Patricia Stevenson | Psychologist | 300 Columbia Ave, Chapin High School, Chapin, SC 29036-9422 | 2013-08-28 |
| 1770926511 | Diane Pikelis Arnold | Registered Nurse | 300 Columbia Ave, Chapin High School, Chapin, SC 29036 | 2013-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295381291 | Palmetto Bone and Joint | Pain Medicine | 104 Ellett Road, Chapin, SC 29036 | 2019-08-15 |
| 1578028270 | Chapin Smiles Dentistry, PC | Dentist | 1221 Chapin Rd., Suite A, Chapin, SC 29036 | 2019-02-06 |
| 1467934810 | Cornerstone Alliance, LLC | Pharmacy | 105 Snapdragon Court Suite A, Chapin, SC 29036 | 2018-09-02 |
| 1922499011 | Chapin Oral and Maxillofacial Surgery, LLC | Dentist | 112 St. Peter's Church Road, Chapin, SC 29036 | 2015-02-10 |
| 1861892077 | Whitney Crowley | Pharmacist | 1419 Chapin Rd, Chapin, SC 29036 | 2014-08-26 |
| 1417370180 | Backdoc, LLC | Chiropractor | 510 Columbia Avenue, Chapin, SC 29036 | 2014-01-30 |
| 1720425895 | Amanda C Harrington | Registered Nurse | 11629 Broad River Road, Chapin, SC 29036 | 2013-05-30 |
| 1396064382 | Palmetto Pediatric Ot, LLC | Clinic/Center | 2427 Old Lexington Highway, Chapin, SC 29036 | 2010-05-31 |
| 1801036959 | Nelson Chiropractic Care LLC. | Preferred Provider Organization | 1402 Chapin Rd., Chapin, SC 29036 | 2009-03-03 |
| 1700044658 | Dieter Karl Bartschat | Psychiatry & Neurology | 863 Willow Cove Rd, Chapin, SC 29036 | 2008-05-28 |
| Find all providers in zip 29036 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053970566 | Sydney Nichole Turner | Specialist/Technologist | 135 Midge Creek Ct, Chapin, SC 29036-8272 | 2019-06-08 |
| 1114381001 | Marci Mcleod | Specialist/Technologist | 300 Columbia Ave, Chapin, SC 29036-9422 | 2016-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869563 | Brandon Lundin | Specialist/Technologist | 259 Dorchester Manor Blvd, North Charleston, SC 29420-8107 | 2020-10-21 |
| 1578160123 | Emma Faith Cornell | Specialist/Technologist | 9345 Blue House Rd, Apt 9302, Ladson, SC 29456-4093 | 2020-10-07 |
| 1932706587 | Devynn Galloway | Specialist/Technologist | 111 Springview Ln Apt 623, Summerville, SC 29485-8773 | 2020-10-07 |
| 1750988309 | Kirstyn Owen | Specialist/Technologist | 9345 Blue House Rd Apt 9302, Ladson, SC 29456-4093 | 2020-10-07 |
| 1902418106 | Kelli Brianna Adams | Specialist/Technologist | 12 He Mccracken Cir, Bluffton, SC 29910-5866 | 2020-08-19 |
| 1770195208 | Chely Mckoy | Specialist/Technologist | 126 Tidwell Ln, Swansea, SC 29160-8348 | 2020-08-17 |
| 1922610500 | Alexis Lauren Elrod | Specialist/Technologist | 907 Wesleyan Dr, Central, SC 29630-9748 | 2020-08-17 |
| 1356969737 | Skylar Brynn Hudgens-wallace | Specialist/Technologist | 208 Amelia Oaks Way, Columbia, SC 29209-1753 | 2020-07-11 |
| 1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
| 1235757162 | Jordan-lee Elizabeth Dobbins | Specialist/Technologist | 1011 Catawba Cir, Columbia, SC 29201-5252 | 2020-07-07 |
| Find all providers with the same taxonomy | ||||
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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.