DR. JEFFREY L WILLIAMSON (NPI# 1154302602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154302602 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY L WILLIAMSON |
| Credential | MD |
| Practice Address |
900 Main St Suite 530 Peoria IL 61602-1005 |
| Practice Telephone | 3096725975 |
| Practice Fax Number | 3096551678 |
| Mailing Telephone | 3096725975 |
| Mailing Fax Number | 3096551678 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2011-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 036066240 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 0360662401 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010247 | Jeffrey Heath Williamson | Counselor | 3350 Lansbury Village Dr Apt 2, Atlanta, GA 30341-5749 | 2020-10-11 |
| 1114038916 | Jeffrey Michael Williamson | Psychologist | 3700 N Harbor City Blvd, Ste 1d, Melbourne, FL 32935-5764 | 2006-08-31 |
| 1881641165 | Jeffrey R Williamson | Family Medicine | 6785 Myers Lake Ave Ne, Rockford, MI 49341 | 2006-05-30 |
| 1760082549 | Jeffrey Allen Williamson | Pharmacist | 297 Highway 32 Byp, Ashdown, AR 71822-8972 | 2020-10-29 |
| 1831375617 | Jeffrey Adam Williamson | Counselor | 18 Portland Ave, Medford, OR 97504-7309 | 2008-01-11 |
| 1245359868 | Jeffrey Austin Williamson | Dentist | 5 Centerpointe Dr, Suite 260, Lake Oswego, OR 97035-8651 | 2007-03-28 |
| Street Address |
900 MAIN ST SUITE 530 |
| City | PEORIA |
| State | IL |
| Zip Code | 61602-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295260784 | Alexandra Gens | Psychiatry & Neurology | 900 Main St, Suite 720, Peoria, IL 61602-1005 | 2017-04-22 |
| 1407380751 | Unitypoint Health Methodist | Psychiatry & Neurology | 900 Main St, Suite 720, Peoria, IL 61602-1005 | 2017-04-13 |
| 1669823068 | Kory Jackson | Nurse Practitioner | 900 Main St, Ste 100, Peoria, IL 61602-1005 | 2016-06-27 |
| 1932554714 | Jamie Schupbach | Nurse Practitioner | 900 Main St, Ste 600, Peoria, IL 61602-1005 | 2016-04-28 |
| 1407223969 | Teresa Michelle Watts | Nurse Practitioner | 900 Main St, Suite 100, Peoria, IL 61602-1005 | 2015-08-31 |
| 1487054433 | Christina Lowrance | Nurse Practitioner | 900 Main St, Peoria, IL 61602-1005 | 2014-08-27 |
| 1295158194 | Karolina Wozny | Physician Assistant | 900 Main St, Suite 630, Peoria, IL 61602-1005 | 2014-01-28 |
| 1821423583 | Radha K Chathadi | Registered Nurse | 900 Main St, Suite 630, Peoria, IL 61602-1005 | 2013-09-12 |
| 1558796789 | Erin Surratt | Social Worker | 900 Main St, Suite 400, Peoria, IL 61602-1005 | 2013-09-06 |
| 1336490333 | Susan Copp | Nurse Practitioner | 900 Main St, Suite 600, Peoria, IL 61602-1005 | 2012-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574676 | Critical Care Rx, LLC | Pharmacy | 126 Oak St, Peoria, IL 61602 | 2018-07-03 |
| 1235675836 | Cheryl Beckman | Registered Nurse | 211 Fulton Street, Suite 207, One Technology Plaza, Peoria, IL 61602 | 2017-01-06 |
| 1063957942 | Rosemary Ince | Registered Nurse | 211 Fulton St. Suite 207, One Technology Plaza, Peoria, IL 61602 | 2016-12-30 |
| 1962674820 | Lisa Jean Burckhartzmeyer | Psychiatry & Neurology | 228 Ne Jefferson St, Peoria, IL 61602 | 2008-03-31 |
| 1669503587 | Jill Larson | Counselor | 330 Sw Washington Street, Peoria, IL 61602 | 2007-03-09 |
| 1265407399 | Cardiac Consultants Sc | Internal Medicine | 900 Main Street, Suite 320, Peoria, IL 61602 | 2006-02-22 |
| 1013364470 | Rafal Szymczuk | Student in an Organized Health Care Education/Training Program | 900 Main Street, Suite 720, Peoria, IL 61602 | 2016-05-16 |
| 1043693831 | Kari Beth Watts | Family Medicine | 815 Main St, Peoria, IL 61602 | 2015-06-30 |
| 1881072791 | Kristen Dent | Family Medicine | 815 Main St, Peoria, IL 61602 | 2015-05-12 |
| 1023422797 | Andrew Wang | Psychiatry & Neurology | 900 Main St Ste 580, Peoria, IL 61602 | 2014-06-20 |
| Find all providers in zip 61602 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235760406 | Star Surgery Center, LLC | Surgery | 14155 N 83rd Ave Ste 140, Peoria, AZ 85381-5652 | 2020-01-28 |
| 1093008237 | Jordan J Glenn | Surgery | 6750 W Thunderbird Rd Ste B-108, Peoria, AZ 85381-5026 | 2011-05-20 |
| 1023207131 | Comprehensive Breast Center of Arizona Plc | Surgery | 9179 W Thunderbird Rd # 103, Peoria, AZ 85381-4875 | 2007-10-15 |
| 1659589653 | Matthew Lawrence Lynch | Surgery | 26900 N Lake Pleasant Pkwy, Peoria, AZ 85383-1558 | 2007-05-21 |
| 1457480063 | Lorin Dixon Whittaker Jr. | Surgery | 624 Ne Glen Oak Ave, 2686, Peoria, IL 61603-3135 | 2007-03-02 |
| 1639132087 | Brian Edward Prebil | Surgery | 14155 N. 83rd Ave., Ste. A-105, Peoria, AZ 85381 | 2006-04-07 |
| 1073584470 | Eric L Thomas | Surgery | 14155 N 83rd Ave Ste A105, Peoria, AZ 85381-5640 | 2006-02-01 |
| 1801874565 | Maqbool B Ali | Surgery | 4930 N Executive Dr, Peoria, IL 61614-4894 | 2006-01-04 |
| 1518956465 | Leann Cari Allgood | Surgery | 9159 W Thunderbird Rd, Peoria, AZ 85381-4910 | 2005-10-13 |
| 1225037310 | John J Brothwell | Surgery | 9856 W Villa Lindo Dr, Peoria, AZ 85383-1339 | 2005-07-20 |
| Find all providers in PEORIA | ||||
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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.