LYNELL WILLIAMS (NPI# 1164662128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164662128 |
| Entity Type | Individual |
| Full Name | LYNELL WILLIAMS |
| Credential | MD |
| Practice Address |
350 Hawthorne Ave Rm 2346 Oakland CA 94609 |
| Mailing Address |
325 Distel Cir Los Altos CA 94022-1408 |
| Practice Telephone | 5108696883 |
| Practice Fax Number | 5108696888 |
| Mailing Telephone | 5108696883 |
| Mailing Fax Number | 5108696888 |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2019-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
982903 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE MEDICAL LICENSE | A131010 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2799 W Grand Blvd, Detroit, MI 482022608 | 3139168234 | 3139169434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245882943 | Lynell Williams | Counselor | 505 Lilburn-stone Mountain Road, Suite 235, Stone Mountain, GA 30087 | 2019-07-12 |
| Street Address |
350 HAWTHORNE AVE RM 2346 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912981788 | Laura Wedderburn | Internal Medicine | 350 Hawthorne Ave Rm 2346, Oakland, CA 94609-3108 | 2005-12-05 |
| 1922400530 | Garima Gupta | Internal Medicine | 350 Hawthorne Ave Rm 2346, Oakland, CA 94609 | 2014-09-25 |
| 1790196756 | Sonny Nijjar | Internal Medicine | 350 Hawthorne Ave Rm 2346, Oakland, CA 94609-3108 | 2014-05-13 |
| 1386062941 | Joseph Bashar Nakhleh | Internal Medicine | 350 Hawthorne Ave Rm 2346, Oakland, CA 94609-3108 | 2014-04-01 |
| 1770900912 | Alana Puro | Internal Medicine | 350 Hawthorne Ave Rm 2346, Oakland, CA 94609-3108 | 2014-03-26 |
| 1902247422 | Catherine Buckley Saiki | Nurse Practitioner | 350 Hawthorne Ave Rm 2346, Oakland, CA 94609-3108 | 2013-07-12 |
| 1942647060 | Paul Cheung | Emergency Medicine | 350 Hawthorne Ave Rm 2346, Oakland, CA 94609 | 2013-05-30 |
| 1609210160 | Ronak Jagdish Valand | Internal Medicine | 350 Hawthorne Ave Rm 2346, Oakland, CA 94609-3108 | 2013-04-26 |
| 1245578988 | Shilpa K Patel | Hospitalist | 350 Hawthorne Ave Rm 2346, Oakland, CA 94609-3108 | 2013-01-30 |
| 1033479936 | Jennifer Youngeun O'neill-cha | Hospitalist | 350 Hawthorne Ave Rm 2346, Oakland, CA 94609-3108 | 2012-05-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
| Find all providers in zip 94609 | ||||
| Taxonomy Code | 207LC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Critical Care Medicine |
| An anesthesiologist, who specializes in critical care medicine 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225458573 | Michael Wu | Anesthesiology | 1411 E 31st Street, Attn Anesthesia Department, Oakland, CA 94602 | 2014-04-24 |
| 1699934638 | So Young Kim | Anesthesiology | 275 W Macarthur, Oakland, CA 94611-5641 | 2008-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851899876 | Dennis Thomas Mangano | Anesthesiology | 30 Genevra Rd, Hillsborough, CA 94010-6423 | 2018-01-24 |
| 1801282579 | Sara Sedrak | Anesthesiology | 127 S San Vicente Blvd Ste 3100, Los Angeles, CA 90048-3311 | 2015-04-09 |
| 1649699505 | Christopher Dinh | Anesthesiology | 2500 Grant Rd # 2a302, Mountain View, CA 94040-4302 | 2014-04-08 |
| 1295178002 | Deon We-jin Lau | Anesthesiology | 11234 Anderson St # 2539, Loma Linda, CA 92354 | 2013-04-10 |
| 1417208596 | Pacific Physicians Medical, Inc. | Anesthesiology | 573 Center Dr, Palo Alto, CA 94301-3102 | 2012-09-28 |
| 1225356777 | Dante William Oriente | Anesthesiology | 972 Calle Serra, San Dimas, CA 91773-4332 | 2010-05-07 |
| 1578793279 | Christopher George Choukalas | Anesthesiology | 120 Parker Ave, #102, San Francisco, CA 94118-2673 | 2009-07-16 |
| 1225219025 | Robert Chan Ang | Anesthesiology | 500 E Remington Dr Ste 18, Sunnyvale, CA 94087-2611 | 2007-11-20 |
| 1780746354 | Lundy John Campbell | Anesthesiology | 512 Parnassus Ave, Room S-436, Box 0427, San Francisco, CA 94143-0001 | 2006-12-13 |
| 1407835325 | Mojdeh Talebian | Anesthesiology | 2950 Whipple Ave, #4, Redwood City, CA 94062 | 2006-01-10 |
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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.