LESLIE WILLIAMS (NPI# 1336569417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336569417 |
| Entity Type | Individual |
| Full Name | LESLIE WILLIAMS |
| Credential | D.O. |
| Practice Address |
201 S Sara Rd Ste 200 Mustang OK 73064-4308 |
| Mailing Address |
201 S Sara Road Suite 200 Mustang OK 73064 |
| Practice Telephone | 4055783250 |
| Practice Fax Number | 4055783299 |
| Mailing Telephone | 4055783250 |
| Mailing Fax Number | 4055783299 |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2017-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5835 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200614220A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245841634 | Leslie Kim Williams | Registered Nurse | 2320 Sw River Spring Rd, Lees Summit, MO 64082-4087 | 2020-08-11 |
| 1982237418 | Leslie Williams | Case Management | 460 King St, Charleston, SC 29403-6229 | 2020-02-12 |
| 1457992802 | Leslie Williams | Early Intervention Provider Agency | 90 Pine Wood Dr, Siler City, NC 27344-7804 | 2019-10-07 |
| 1235794587 | Leslie Williams | Registered Nurse | 103 2nd St, Camden, NY 13316-1135 | 2019-05-02 |
| 1972061000 | Leslie Williams | Registered Nurse | 19235 N Cottonwood Green Ln, Cypress, TX 77433-5128 | 2019-03-07 |
| 1144756263 | Leslie Eve Williams | Speech-Language Pathologist | 747 15th St, Pomeroy, WA 99347-9780 | 2017-05-10 |
| 1578003505 | Leslie Williams | Behavior Technician | 4708 Manor Hill Dr, Norman, OK 73072-3963 | 2017-02-23 |
| 1689026221 | Leslie Williams | Non-emergency Medical Transport (VAN) | 9325 Midlothian Tpke Ste B, North Chesterfield, VA 23235-4943 | 2016-07-07 |
| 1518332089 | Leslie Churn Williams | Counselor | 36086 Lankford Highway, 308, Belle Haven, VA 23306 | 2015-12-09 |
| 1487026134 | Leslie Simone Williams | Nurse Practitioner | 14308 Minerva Ave, Dolton, IL 60419-1343 | 2015-10-21 |
| Street Address |
201 S SARA RD STE 200 |
| City | MUSTANG |
| State | OK |
| Zip Code | 73064-4308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639314693 | Denise Renee Branson | Physician Assistant | 201 S Sara Rd Ste 200, Mustang, OK 73064 | 2008-12-04 |
| 1245524941 | Richard A Lowrance IIi | Family Medicine | 201 S Sara Rd Ste 200, Mustang, OK 73064 | 2011-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336760149 | Brian Angel Padilla | Student in an Organized Health Care Education/Training Program | 704 N White Tail Way, Mustang, OK 73064 | 2020-05-03 |
| 1346762564 | Mustang Dentistry & Braces | Clinic/Center | 1001 E. Highway 152, Suite 113, Mustang, OK 73064 | 2017-07-10 |
| 1134591779 | James Donald Mcginn IIi | Nurse Practitioner | 738 W. Perry, Mustang, OK 73064 | 2015-10-22 |
| 1912310681 | Jon Austin Barnes | Dentist | 201 S Sara Rd Ste 140, Mustang, OK 73064 | 2014-06-10 |
| 1770996084 | Jennifer Chadd Wilbourn | Dentist | 500 N Financial Center Terrace, Suite D, Mustang, OK 73064 | 2014-06-04 |
| 1003236969 | Okc Dental Health Associates, P.C. | Dentist | 1041 E. Hwy 152, Mustang, OK 73064 | 2014-04-18 |
| 1063834786 | Heather Wagner | Nurse Practitioner | 106 W Highway 152, Mustang, OK 73064 | 2014-01-15 |
| 1053743252 | Misty Renee May | Counselor | 1558 E. Lake Aire Lane, Mustang, OK 73064 | 2013-07-30 |
| 1386901502 | John M Ketcher LLC | Optometrist | 1108 E. Hwy 152, Mustang, OK 73064 | 2012-04-12 |
| 1083995658 | Joseph J Gronigan | Counselor | 627 E Suera Terr., Mustang, OK 73064 | 2011-09-08 |
| Find all providers in zip 73064 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295365302 | Vibrant Life Direct Care, Pllc | Family Medicine | 501 N Mustang Rd Ste B, Mustang, OK 73064-7044 | 2020-01-17 |
| 1356506935 | Peter Paul Bullock Jr. | Family Medicine | 106 S Castlerock Ln, Mustang, OK 73064-4586 | 2008-07-23 |
| 1770788358 | Joy Alyse Manning Plain | Family Medicine | 201 S Sara Road, Suite 200, Mustang, OK 73064 | 2007-06-15 |
| 1811103922 | Saints Medical Group, LLC | Family Medicine | 501 N Mustang Rd, Suite D, Mustang, OK 73064-7048 | 2007-05-15 |
| 1235271719 | Ilona Dobrowolska Samara | Family Medicine | 201 S Sara Rd, Suite 200, Mustang, OK 73064-4303 | 2007-02-13 |
| 1285662890 | Rebecca G. Biorato | Family Medicine | 731 E State Highway 152, Mustang, OK 73064-4520 | 2006-06-30 |
| 1710989702 | Gerald A Amundsen II | Family Medicine | 206 N Mustang Mall Ter, Mustang, OK 73064-5135 | 2005-08-10 |
| 1013397991 | Chelsea R Mcvey | Family Medicine | 1468 N Mustang Rd, Mustang, OK 73064-7214 | 2015-06-04 |
| 1881955508 | Erin Balzer | Family Medicine | 1468 N Mustang Rd, Mustang, OK 73064-7214 | 2012-05-30 |
| 1740577279 | Stefanie Lynn Meredith | Family Medicine | 1468 N Mustang Rd, Mustang, OK 73064-7214 | 2011-07-05 |
| Find all providers in MUSTANG | ||||
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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.