EVAN M WILLIAMS (NPI# 1225297492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225297492 |
| Entity Type | Individual |
| Full Name | EVAN M WILLIAMS |
| Credential | MD |
| Practice Address |
501 E Nicollet Blvd Ste 100 Burnsville MN 55337-6772 |
| Practice Telephone | 9524358516 |
| Practice Fax Number | 7633024336 |
| Mailing Telephone | 9524358516 |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2019-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
56776 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MINNESOTA LICENSE | 56776 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528120706 | Evan Thomas Williams | Dentist | 415 W George St, Carmichaels, PA 15320-1344 | 2006-12-14 |
| 1407335763 | Evan Williams | Case Manager/Care Coordinator | 2215 E Oak St Ste 1, Conway, AR 72032-4644 | 2018-08-08 |
| 1689953523 | Evan Williams | Pharmacist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2011-08-09 |
| 1336375146 | Evan Anthony Williams | Registered Nurse | 55 Cummings Way, Woonsocket, RI 02895-3247 | 2009-06-08 |
| 1245405356 | Evan Alexander Williams | Physical Therapist | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2008-04-29 |
| 1174605620 | Evan Grant Williams | Internal Medicine | 1101 W Liberty St, Farmington, MO 63640-1921 | 2006-10-20 |
| 1124020672 | Evan T Williams | Optometrist | 200 E Woodlawn Dr, Leadington, MO 63601-4436 | 2005-08-15 |
| Street Address |
501 E NICOLLET BLVD STE 100 |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55337-6772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942247986 | Rajiv Kumar Aggarwal | Psychiatry & Neurology | 501 E Nicollet Blvd Ste 100, Burnsville, MN 55337 | 2006-05-31 |
| 1518509652 | Melissa Charron | Physician Assistant | 501 E Nicollet Blvd Ste 100, Burnsville, MN 55337-6772 | 2019-10-10 |
| 1346643830 | Jeannette Marie Breimhorst | Specialist/Technologist | 501 E Nicollet Blvd Ste 100, Burnsville, MN 55337-6772 | 2014-09-29 |
| 1497019475 | Marietta Mume Hoogs | Clinical Neuropsychologist | 501 E Nicollet Blvd Ste 100, Burnsville, MN 55337-6772 | 2012-06-25 |
| 1639463185 | Stuart Bergman-bock | Psychiatry & Neurology | 501 E Nicollet Blvd Ste 100, Burnsville, MN 55337-6772 | 2011-06-01 |
| 1811225899 | Donald Altenburg | Physician Assistant | 501 E Nicollet Blvd Ste 100, Burnsville, MN 55337 | 2009-12-02 |
| 1598955213 | Jody Lee Bloom | Physical Therapy Assistant | 501 E Nicollet Blvd Ste 100, Burnsville, MN 55337-6772 | 2007-07-30 |
| 1972675940 | Charles R Barta | Specialist/Technologist | 501 E Nicollet Blvd Ste 100, Burnsville, MN 55337-6772 | 2006-11-15 |
| 1376567222 | Quoc Ai Nguyen | Physical Therapist | 501 E Nicollet Blvd Ste 100, Burnsville, MN 55337-6772 | 2006-07-26 |
| 1215958160 | Karen Lawrence Guba | Physical Therapist | 501 E Nicollet Blvd Ste 100, Burnsville, MN 55337-6772 | 2006-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
| 1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
| 1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
| 1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
| 1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
| 1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
| 1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
| Find all providers in zip 55337 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376617449 | Ruth Mize Myers | Psychiatry & Neurology | 14300 Nicollet Court, Suite 207, Burnsville, MN 55306 | 2006-11-20 |
| 1942247986 | Rajiv Kumar Aggarwal | Psychiatry & Neurology | 501 E Nicollet Blvd Ste 100, Burnsville, MN 55337 | 2006-05-31 |
| 1487607495 | Ingrid Abols-mantyh | Psychiatry & Neurology | 675 E Nicollet Blvd, Suite 100, Burnsville, MN 55337-6749 | 2006-05-19 |
| 1639463185 | Stuart Bergman-bock | Psychiatry & Neurology | 501 E Nicollet Blvd Ste 100, Burnsville, MN 55337-6772 | 2011-06-01 |
| 1508803834 | Leland James Scott | Psychiatry & Neurology | 501 E Nicollet Blvd Ste 100, Burnsville, MN 55337 | 2006-06-02 |
| 1194772103 | Jack Edward Hubbard Jr. | Psychiatry & Neurology | 675 E Nicollet Blvd, Suite 100, Burnsville, MN 55337-6749 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851905251 | Nexus | Psychiatry & Neurology | 2121 Campus Dr Se, Rochester, MN 55904-4744 | 2020-09-02 |
| 1669995528 | Malik Ghannam | Psychiatry & Neurology | 701 15th Ave Se, Minneapolis, MN 55414-4047 | 2017-07-24 |
| 1477903995 | James Albert Zeese Jr. | Psychiatry & Neurology | 2401 Laurel Avenue, Minneapolis, MN 55405 | 2016-06-15 |
| 1265790414 | Brian Michael Krasnow | Psychiatry & Neurology | 1746 Hillcrest Avenue, Saint Paul, MN 55116-2151 | 2012-04-25 |
| 1699079533 | Gilbert Westreich | Psychiatry & Neurology | 1779 Emerson Ave South, Minneapolis, MN 55403-2909 | 2011-01-07 |
| 1720233570 | West Central Neurology Pa | Psychiatry & Neurology | 11521 312th Ave, Princeton, MN 55371-3423 | 2008-11-20 |
| 1235388521 | Donald W Klass | Psychiatry & Neurology | 956 14th Ave Sw, Rochester, MN 55902-2078 | 2008-09-11 |
| 1598929267 | Frank Wilson Sharbrough IIi | Psychiatry & Neurology | 814 8th Ave Sw, Rochester, MN 55902-6308 | 2008-07-11 |
| 1881855187 | Kenneth James Shea IIi | Psychiatry & Neurology | 3540 17th Ave S, Saint Cloud, MN 56301-9664 | 2008-06-19 |
| 1275792293 | Ali Emami | Psychiatry & Neurology | 310 Smith Ave N Ste 440, Saint Paul, MN 55102-2316 | 2008-06-05 |
| Find all providers with the same taxonomy | ||||
| City | BURNSVILLE |
| Zip Code | 55337 |
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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.