BRETT STEPHAN WILLIAMS (NPI# 1194909044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194909044 |
| Entity Type | Individual |
| Full Name | BRETT STEPHAN WILLIAMS |
| Credential | MD |
| Practice Address |
4001 Highway 104 Ione CA 95640 |
| Practice Telephone | 2092745970 |
| Practice Fax Number | 2092745917 |
| Mailing Telephone | 2092745970 |
| Mailing Fax Number | 2092745917 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2007-12-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A51432 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679988620 | Brett Thomas Williams | Podiatrist | 1934 Waverly St, C204, Philadelphia, PA 19146-1456 | 2014-06-29 |
| 1639236011 | Brett Alan Williams | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1300 28th Street South, Suite 8, Great Falls, MT 59405 | 2007-01-03 |
| 1265505374 | Brett T Williams | Emergency Medicine | Buffalo General Hospital Department of Emergency Medic, 100 High St, Buffalo, NY 14203 | 2006-11-16 |
| 1417303215 | Brett Williams | Occupational Therapist | 221 Mahalani St, Wailuku, HI 96793-2526 | 2016-05-11 |
| 1609131226 | Brett G Williams | Physical Therapist | 4525 S 86th St, Suite B, Lincoln, NE 68526-9277 | 2012-07-10 |
| 1053561241 | Brett M Williams | Nurse Practitioner | 500 Sw Ramsey, Grants Pass, OR 97527-5554 | 2008-09-24 |
| 1447426606 | Brett Brunner Williams | Internal Medicine | 1 Deaconess Rd, Deaconess 306, Boston, MA 02215-5321 | 2008-05-07 |
| 1477723856 | Brett David Williams | Case Manager/Care Coordinator | 1300 S Grand Ave Ste C, Santa Ana, CA 92705-4434 | 2008-03-03 |
| 1528274784 | Brett Williams | Pharmacist | 7010 Pershing Ave, University City, MO 63130-4318 | 2007-05-15 |
| 1588796858 | Brett Richard Williams | Marriage & Family Therapist | 97 Professional Way, Suite 2, Payson, UT 84651-1614 | 2007-03-12 |
| Street Address |
4001 HIGHWAY 104 |
| City | IONE |
| State | CA |
| Zip Code | 95640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841251105 | Joseph Chudy | Family Medicine | 4001 Highway 104, Ione, CA 95640 | 2006-03-28 |
| 1134720725 | Ava Le | Psychologist | 4001 Highway 104, Ione, CA 95640 | 2020-11-02 |
| 1821602855 | Marina Protsenko | Social Worker | 4001 Highway 104, Ione, CA 95640 | 2020-09-08 |
| 1427407832 | Melissa Derrick | Nurse Practitioner | 4001 Highway 104, Ione, CA 95640 | 2016-06-07 |
| 1669883336 | Kathleen Ann Keller | Psychologist | 4001 Highway 104, Ione, CA 95640-9099 | 2014-05-15 |
| 1134558240 | Cdcr | Psychologist | 4001 Highway 104, Ione, CA 95640 | 2013-11-08 |
| 1316287089 | Debra Ruth Laughlin | Social Worker | 4001 Highway 104, Ione, CA 95640 | 2013-02-18 |
| 1982952230 | Kelsey Tumiel | Counselor | 4001 Highway 104, Ione, CA 95640 | 2012-08-16 |
| 1497068878 | Amy Smith | Counselor | 4001 Highway 104, Ione, CA 95640 | 2010-07-14 |
| 1073846291 | Marshay L. Anderson | Counselor | 4001 Highway 104, Ione, CA 95640 | 2009-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316423692 | Millie Georganna Herrera | Psychologist | 4001 State Higheay 104, Ione, CA 95640 | 2018-07-19 |
| 1164810370 | Sarah D Smith | Psychologist | 4001 Highway-104, Ione, CA 95640 | 2014-12-23 |
| 1992130108 | Robert W Landry | Psychologist | 4001 Hwy. 104, Ione, CA 95640 | 2013-09-06 |
| 1629414735 | Teresa Stevenson | Psychologist | 4001 California Highway 104, Ione, CA 95640 | 2013-05-15 |
| 1629319215 | Kristina Towner | Social Worker | Mcsp, 4001 Hwy 104, Attn: Mental Health Services Department, Ione, CA 95640 | 2013-03-07 |
| 1437495256 | Robert Charles Arnold | Psychologist | 4001 Ca-104, Ione, CA 95640 | 2012-12-26 |
| 1518214741 | Brandy Malloy | Student in an Organized Health Care Education/Training Program | 4001 Highway 101, Ione, CA 95640 | 2012-08-07 |
| 1215296918 | Wayne J Batalo | Pharmacist | 4001 Highway 102, Ione, CA 95640 | 2012-05-15 |
| 1447402920 | Allison L.v. Andres | Psychologist | 4001 Highway 104 Mental Health Department, Mule Creek State Prison (csp-mcsp), Ione, CA 95640 | 2008-10-16 |
| 1295930188 | Evalyn Horowitz | Internal Medicine | 4001 California 104, Ione, CA 95640 | 2007-06-19 |
| Find all providers in zip 95640 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114109568 | Richard Parnell Galloway | General Practice | 4001 Highway 104, Ione, CA 95640-0000 | 2007-11-28 |
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|---|---|---|---|---|
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| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
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| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
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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.