MS. SARA OLIVIA WILLIAMS


Address: 4500 Stuart St, Moncreif Army Community Hospital/credentials, Columbia, SC 29207-5700
Phone: 8037516693

MS. SARA OLIVIA WILLIAMS (NPI# 1497816375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497816375
Entity Type Individual
Full Name MS. SARA OLIVIA WILLIAMS
Credential PAC
Practice Address 4500 Stuart St
Moncreif Army Community Hospital/credentials
Columbia
SC 29207-5700
Mailing Address 2213 Kingswood Dr
Columbia
SC 29205-4304
Practice Telephone 8037516693
Mailing Telephone 8032373322
Enumeration Date 2006-12-13
Last Update Date 2009-06-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant 0010-00607 NC Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
PA10004665 WA Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
A472 SC Physician Assistants & Advanced Practice Nursing Providers
Y 363AM0700X Physician Assistant
Specialization: Medical
002374 NY Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 4500 STUART ST
MONCREIF ARMY COMMUNITY HOSPITAL/CREDENTIALS
City COLUMBIA
State SC
Zip Code 29207-5700

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912505231 Christopher Michael Enke Occupational Therapist 4500 Stuart St, Columbia, SC 29207-5700 2020-10-09
1366071144 Kaitlin Chrastek Specialist/Technologist 4500 Stuart St, Columbia, SC 29207-5700 2020-04-03
1316582455 Melissa Angela Metivier Physical Therapist 4500 Stuart St, Columbia, SC 29207-5700 2019-11-13
1952954695 Jeriann Sandrik Optometrist 4500 Stuart St, Columbia, SC 29207 2019-07-22
1669946455 Tonya Yvette Parks Counselor 4500 Stuart St, Columbia, SC 29207-5700 2019-01-15
1538653795 Jennifer L Willard Licensed Practical Nurse 4500 Stuart St, Columbia, SC 29207-5700 2018-06-20
1114469475 Carrie Elizabeth Green Physical Therapist 4500 Stuart St, Columbia, SC 29207-5700 2016-11-17
1841640489 Daniel Greathouse Optometrist 4500 Stuart St, 3rd Floor Clinic Wing, Columbia, SC 29207-5700 2016-06-14
1356796205 Rajesh Devkota Nurse Practitioner 4500 Stuart St, Columbia, SC 29207-5700 2016-04-28
1114385770 Garry Dredge Physical Therapist 4500 Stuart St, Columbia, SC 29207-5700 2016-02-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265043756 Steven Mariani Rodriguez Dentist 5330 Moseby Street, Columbia, SC 29207 2020-08-10
1568082493 Nichole Eckrich Dentist 5330 Moseby St., Columbia, SC 29207 2020-04-21
1730733007 Forrest Wane Fullenkamp Student in an Organized Health Care Education/Training Program 5330 Moseby St, Columbia, SC 29207 2019-07-25
1306401625 Kayla Anne Wolcott Pharmacist Moncrief Army Hospital Outpatient Pharmacy 1 Ft Jackson, Columbia, SC 29207 2019-05-02
1588145098 Renetta Denise Green Counselor Fort Jackson/acs 9810 Lee St, Columbia, SC 29207 2018-08-23
1154814028 Amanda Zelnick Dentist Bldg 5330 Moseby St, Ft Jackson, NC 29207 2018-06-14
1790231777 Brittaney Elizabeth Anne Lewelling Specialist/Technologist 5975 Chesnut Road, Columbia, SC 29207 2016-08-30
1376749838 Moncrief Army Community Hospital Clinic/Center 5330 Mosby Street, Fort Jackson, SC 29207 2007-06-22
1902002462 Moncrief Army Community Hospital Clinic/Center 1890 Washington Road, Fort Jackson, SC 29207 2007-06-22
1730279860 Donna L Briquet Pharmacist 4500 Marion Street, Columbia, SC 29207 2006-10-12
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1629434279 Jennifer Templeton Physician Assistant 110 Highland Center Drive, Columbia, SC 29203 2016-01-12
1184023871 Candace Parker Fleming Physician Assistant 109 W Legion Ave, Columbia, IL 62236-2341 2014-08-19
1194147470 Frederick Parker Physician Assistant 9 Richland Medical Park Drive, Suite 450, Columbia, SC 29203 2014-01-06
1780999037 Spectrum Pain Clinics, Inc Physician Assistant 230 East James Campbell Blvd, Suite 102, Columbia, TN 38401 2010-08-11
1770728834 Joan Chandler Hornick Physician Assistant 2 Medical Park Rd Ste 404, Columbia, SC 29203-6875 2008-12-03
1164683926 Kimberly Shirk Physician Assistant 612 Saint Andrews Rd Ste 2, Columbia, SC 29210-5120 2008-06-24
1295869485 Karen Traynham Physician Assistant 303 N Keene St Ste 301, Columbia, MO 65201-7193 2007-03-16
1508926817 Nina D Garcia Physician Assistant 8850 Columbia 100 Pkwy Ste 316, Columbia, MD 21045-2377 2006-12-11
1467526418 Tamenia Bluford Bluford Physician Assistant 4 N Bay Xing, Columbia, SC 29229-7507 2006-11-20
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Competitor

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City COLUMBIA
Zip Code 29207

Improve Information

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Dataset Information

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.

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