ANDREA WILLIAMS


Address: 22837 Avalon St, Saint Clair Shores, MI 48080-2468
Phone: 5868991950

ANDREA WILLIAMS (NPI# 1083915052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083915052
Entity Type Individual
Full Name ANDREA WILLIAMS
Credential PA-C
Practice Address 22837 Avalon St
Saint Clair Shores
MI 48080-2468
Mailing Address 26185 Greenfield Rd
Southfield
MI 48076-4709
Practice Telephone 5868991950
Mailing Telephone 5868991950
Enumeration Date 2010-11-08
Last Update Date 2019-09-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 5601007402 MI Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant PA9105695 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 002913600 05
FL MEDICARE DZ831Z 01
RR MEDICARE P00878021 01

Other Providers ANDREA WILLIAMS

NPI Name Taxonomy Address Enumeration
1457959736 Andrea Williams Pharmacist 13231 Windbrooke Ln, Saint Louis, MO 63146-2221 2020-10-09
1073142790 Andrea Williams Developmental Therapist 50 Faith Ct Apt 12, Somerset, KY 42503-5887 2020-04-04
1992331714 Andrea Williams Nurse Practitioner 55 Mckenzie Cv, Marion, AR 72364-2661 2020-03-13
1669002861 Andrea Williams Case Manager/Care Coordinator 3200 Taft Park, Metairie, LA 70002-5736 2020-01-16
1386287977 Andrea Janette Williams Massage Therapist 2440 Hwy 258n, Kinston, NC 28504-7203 2019-10-25
1114466869 Andrea Michelle Williams Psychologist 10665 Stanhaven Pl Ste 3119, White Plains, MD 20695-3055 2017-02-14
1588100697 Andrea Denise Williams Home Health Aide 319 Knob Hill Dr, 227 Kilmaine Court, Jackson, MS 39209-2822 2017-01-12
1669923678 Andrea Lynn Williams Registered Nurse 15280 Shay Cut Off Rd, Kingston, OK 73439-8149 2016-10-14
1265803530 Andrea Williams Registered Nurse 500 Congaree Church Rd, Gadsden, SC 29052-9713 2015-10-13
1447664545 Andrea Renee Williams Emergency Medicine 799 Farson St - Emergency Department, Belpre, OH 45714 2014-06-17

Office Location

Street Address 22837 AVALON ST
City SAINT CLAIR SHORES
State MI
Zip Code 48080-2468

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508482084 Farrah Aleema Rajab Family Medicine 24911 Little Mack Avenue, Suite C, St. Clair Shores, MI 48080 2020-06-22
1558986141 Julia Anastazja Krakowska Family Medicine 24911 Little Mack, Suite C, St. Clair Shores, MI 48080 2020-06-10
1972073567 Joyce Stepnak Social Worker 19611 E. 8 Mile Rd, Scs, MI 48080 2018-11-27
1487134177 Bonnie Girson Social Worker 23409 Jefferson Ave Ste 100, Saint Clair Shores, MI 48080 2018-08-21
1609309913 Park Pharmacy Scs LLC Pharmacy 20225 E 9 Mile Rd Ste 120a, Saint Clair Shores, MI 48080 2017-04-05
1730564055 Mary Rose Giroux Psychologist 22516 Overlake St, St. Clair Shores, MI 48080 2015-07-28
1962882910 Ali Tarif Bazzy Family Medicine 20225 E 9 Mile Rd Ste A, Saint Clair Shores, MI 48080 2015-06-04
1497156228 Kelly Zalewski Social Worker 24631 Jefferson Ave, Saint Clair Shores, MI 48080 2014-09-11
1669871364 Mallory Margret Gordon Psychologist 19900 E. 10 Mile Rd., Ste. 102, Saint Clair Shores, MI 48080 2014-08-19
1932549375 Alexander Peter Bill Otolaryngology 22631 Greater Mack Ave Ste 200, Saint Clair Shores, MI 48080 2013-06-30
Find all providers in zip 48080

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265090799 Eva Abiragi Physician Assistant 25631 Little Mack Ave Ste 104, Saint Clair Shores, MI 48081-2100 2019-05-30
1912564576 Kelsey Alexandra Kusch Physician Assistant 21213 Francis St, Saint Clair Shores, MI 48082-1587 2019-05-20
1306250634 Jacquelyn Lauren Merecki Physician Assistant 22531 Oconnor St, Saint Clair Shores, MI 48080-2148 2014-06-14
1386996858 Nicole M Vichunas Physician Assistant 25123 Culver St, Saint Clair Shores, MI 48081-2121 2012-10-09
1609185669 Andrea Lynn Taft Physician Assistant 221 Villa Ln, Saint Clair Shores, MI 48080-2737 2010-09-24
1790752723 Teresa Ostaszewski Physician Assistant 25311 Little Mack Ave Ste B, Saint Clair Shores, MI 48081-3301 2006-03-08
1508480021 Kelsey Marie Owens Physician Assistant 24400 Greater Mack Ave, Saint Clair Shores, MI 48080-1340 2020-06-01
1578113171 Daric Alexander Mueller Physician Assistant 29200 Harper Ave, Saint Clair Shores, MI 48081-1274 2019-09-16
1730646696 Maren Bahra Physician Assistant 24715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080-3207 2019-02-27
1942779921 Maria D Samsa Physician Assistant 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 2018-11-19
Find all providers in SAINT CLAIR SHORES

Competitor

Search similar providers

City SAINT CLAIR SHORES
Zip Code 48080

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Dataset Information

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.

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