SIDONIA WILLIAMSON (NPI# 1336505700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336505700 |
Entity Type | Individual |
Full Name | SIDONIA WILLIAMSON |
Practice Address |
4175 S. Alamo Ave Tucson AZ 85707-4405 |
Mailing Address |
4175 South Alamo Ave Bldg 400 Davis-monthan AZ 85708 |
Practice Telephone | 5202282953 |
Enumeration Date | 2016-01-14 |
Last Update Date | 2020-08-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4175 S. ALAMO AVE |
City | TUCSON |
State | AZ |
Zip Code | 85707-4405 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841699196 | Kristie Martin | Social Worker | 4175 S. Alamo Ave, Tucson, AZ 85707-4405 | 2014-08-21 |
1992369276 | Mellissa Taylor | Physician Assistant | 4175 S. Alamo Ave, Tucson, AZ 85707-4405 | 2019-04-23 |
1962851667 | Spencer O'brien Peterson | Orthopaedic Surgery | 4175 S. Alamo Ave, Tucson, AZ 85707-4405 | 2016-06-03 |
1336502772 | Agin Gheevarughese Thomas | Psychiatry & Neurology | 4175 S. Alamo Ave, Tucson, AZ 85707-4405 | 2016-04-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699128850 | Megan Dehaven | Specialist/Technologist | 5455 E Comanche St, Tucson, AZ 85707 | 2016-07-22 |
1780927954 | Ryan N Taylor | Physician Assistant | 400, 4175 S Alamo Ave, Davis-monthan Afb, AZ 85707 | 2013-04-05 |
1154658839 | Alisha A Marchetti | Physician Assistant | 4175 S. Alamo Avenue, 355th Mdg/mdos, Davis-monthan Afb, AZ 85707 | 2009-11-17 |
1851529192 | Christopher Thomas Yarbrough | Military Health Care Provider | 4625 South Phoenix Street Bldg 4843, Tucson, AZ 85707 | 2009-06-25 |
1144457045 | Denise Fabian | Psychiatry & Neurology | 5427 E. Madera Street, Davis Monthan Afb, AZ 85707 | 2009-06-17 |
1942437447 | Emerson M Earle | Military Health Care Provider | 4625 S. Phoenix St, Bld 4843, Tucson, AZ 85707 | 2009-06-11 |
1164657136 | Raul Romero | Military Health Care Provider | 4575 S. Phoenix St. 563rd Oss, Dmafb, AZ 85707 | 2009-05-20 |
1063647196 | Virginia E. Bailey | Military Health Care Provider | 4837 S Phoenix St., Rm 119 Davis-monthan Air Force Base, Tucson, AZ 85707 | 2009-05-19 |
1043417611 | Jacob Riis | Orthopaedic Surgery | 355 Mdg, 4175 South Alamo Ave, Tucson, AZ 85707 | 2007-06-28 |
1508989732 | Christopher E. Dunham | Physician Assistant | 4175 S. Alamo Ave Bldg 400, 355th Medical Group-davis Monthan Afb, Tucson, AZ 85707 | 2007-04-10 |
Find all providers in zip 85707 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366955155 | Jennifer R Osborne | Physician Assistant | 100 S Eastern Dawn Ave, Tucson, AZ 85748-1708 | 2017-11-15 |
1669985198 | Jacki Nichols | Physician Assistant | 5055 N Rock Canyon Rd, Tucson, AZ 85750-6003 | 2017-11-06 |
1982084562 | Cj Surgical Assisting | Physician Assistant | 9420 E. Golf Links Rd., Ste 108 #138, Tucson, AZ 85730-1317 | 2015-06-09 |
1073901492 | Claudia Y Coello-rasoumoff | Physician Assistant | 2803 E 5th St, Tucson, AZ 85716-4433 | 2015-01-07 |
1902211600 | David Ybarbo Flores | Physician Assistant | 7853 N Kristin Pl, Tucson, AZ 85741-3926 | 2014-06-22 |
1417369729 | Caitlin Marie Harper | Physician Assistant | 9685 E Paseo San Ardo, Tucson, AZ 85747 | 2014-05-21 |
1205257359 | Carolyn Jones | Physician Assistant | 5963 E Franklin Tale Dr, Tucson, AZ 85756-8653 | 2013-12-16 |
1376886135 | Diane M Williams | Physician Assistant | 6336 N Oracle Rd # 326245, Tucson, AZ 85704-5480 | 2013-03-30 |
1740524123 | April Hanna, Pa-c Pllc | Physician Assistant | 12121 E Barbary Coast Rd, Tucson, AZ 85749-8443 | 2012-11-25 |
1619287620 | Mukesh N Shah | Physician Assistant | 6455 E Nelson Dr, Tucson, AZ 85730 | 2010-10-12 |
Find all providers in TUCSON |
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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.