MALLORY WILLIAMS (NPI# 1669488003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669488003 |
| Entity Type | Individual |
| Full Name | MALLORY WILLIAMS |
| Credential | M.D. |
| Practice Address |
2041 Georgia Ave Nw Ste 4000 Washington DC 20060-4228 |
| Mailing Address |
2041 Georgia Ave Nw Washington DC 20060-0001 |
| Practice Telephone | 2028653785 |
| Practice Fax Number | 2028653136 |
| Mailing Telephone | 2028656679 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2019-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD041969 | DC | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 227496 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | 086515600 | 05 | |
| LA | 1184071 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1501 Kings Hwy, Department of Surgery, Shreveport, LA 711034228 | 3186756355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750732855 | Mallory Williams | Social Worker | 7229 Stone Garden Dr, Olive Branch, MS 38654-6419 | 2016-06-29 |
| 1265881189 | Mallory Williams | Physician Assistant | 11909 D. Mcauley Drive, Savannah, GA 31419 | 2016-06-10 |
| 1265888051 | Mallory Williams | Counselor | 9401 Mcknight Rd Ste 302, Pittsburgh, PA 15237 | 2016-05-11 |
| 1225418940 | Mallory Breland Williams | Social Worker | 8772 Quarters Lake Rd # 13-8, Baton Rouge, LA 70809-7305 | 2015-06-08 |
| 1104307891 | Mallory Wardell Williams | Case Manager/Care Coordinator | 1200 S Acadian Thruway, Baton Rouge, LA 70806-6900 | 2018-08-22 |
| 1619308103 | Mallory Williams | Physician Assistant | 11200 Governor Manly Way, Suite 309, Raleigh, NC 27614-8599 | 2013-12-09 |
| 1255767042 | Mallory Jane Williams | Pharmacist | 2626 Rose St, La Crosse, WI 54603-1616 | 2013-09-25 |
| 1427322700 | Mallory Anne Williams | Pharmacist | 1512 Linwood Dr, Paragould, AR 72450-5814 | 2012-03-03 |
| Street Address |
2041 GEORGIA AVE NW STE 4000 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20060-4228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285673079 | Edward Eugene Cornwell IIi | Surgery | 2041 Georgia Ave Nw Ste 4000, Washington, DC 20060-0005 | 2006-06-06 |
| 1013440155 | Sylvonne Layne | Student in an Organized Health Care Education/Training Program | 2041 Georgia Ave Nw Ste 4000, Washington, DC 20060-0001 | 2017-04-05 |
| 1831121854 | Kakra Hughes | Surgery | 2041 Georgia Ave Nw Ste 4000, Washington, DC 20060-0001 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629690631 | Idil Ibrahim | Student in an Organized Health Care Education/Training Program | 2041 Georgia Avenue Washington, Nw, Washington, DC 20060 | 2020-05-13 |
| 1740801570 | Felix Wadja Wireko | Student in an Organized Health Care Education/Training Program | 2041 Georgia Avenue, Nw Howard University Hospital, Washington, DC 20060 | 2020-05-04 |
| 1326669235 | Priscilla Agyemang Ababio | Student in an Organized Health Care Education/Training Program | 2041 Georgia Avenue, Nw, Howard University Hospital, Washington, DC 20060 | 2020-05-01 |
| 1932738226 | Ahmed Brgdar | Student in an Organized Health Care Education/Training Program | Howard University Hospital 2041 Georgia Avenue, Nw., Washington, DC 20060 | 2020-04-07 |
| 1427614437 | Shai Ian Bernard Stewart | Student in an Organized Health Care Education/Training Program | Howard University Hospital - Surgery Program Office, 2041 Georgia Avenue, Washinton, DC 20060 | 2019-05-15 |
| 1588127039 | Kamilah Anika Tricia Fernandez | Student in an Organized Health Care Education/Training Program | Howard University Hospital 2041 Georgia Avenue, Nw, Washington Dc, WA 20060 | 2019-04-11 |
| 1740741024 | Arjun Dev Saini | Student in an Organized Health Care Education/Training Program | 2041 Georgia Ave Nw # 2107, Washington, DC 20060 | 2019-03-28 |
| 1427547710 | Lorenzo Elliot Leys | Student in an Organized Health Care Education/Training Program | Howard University Hospital Internal Medicine, 2041 Georgia Avenue, Washington, DC 20060 | 2018-05-02 |
| 1851889877 | Fareed Rajack | Student in an Organized Health Care Education/Training Program | 2041 Georgina Avenue N.w., Howard University Hospital, Washington, DC 20060 | 2018-04-25 |
| 1801393855 | Rodney Christian Guiseppi | Student in an Organized Health Care Education/Training Program | 2401 Georgia Avenue, Nw (howard University Hospital), Washington, DC 20060 | 2018-04-06 |
| Find all providers in zip 20060 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932526407 | Dingchao He | Surgery | 6323 Georgia Ave Nw Ste 101, Washington, DC 20011 | 2014-03-24 |
| 1467893446 | Adeel Ahmed Shamim | Surgery | Howard University Hospital Dept of Surgery, 2041 Georgia Avenue Nw, Washington, DC 20060-0001 | 2013-07-08 |
| 1720423486 | Pejman Radkani | Surgery | 3800 Reservoir Rd Nw Fl 2, Washington, DC 20007 | 2013-05-07 |
| 1700220258 | Hanh Tam Thi Tran | Surgery | 5255 Loughboro Rd Nw Bldg 4th, Washington, DC 20016-2633 | 2013-04-25 |
| 1679916092 | Desmond Uwadiale Ohiowele | Surgery | 2041 Georgia Ave Nw Washington Dc 20059, Washington, DC 20059-6410 | 2013-04-16 |
| 1558623744 | Joseph V Rizzo | Surgery | 58520 Cory Lake Dr, Washington, MI 48094-4206 | 2012-06-13 |
| 1437411998 | Sara Elizabeth Berkey | Surgery | 106 Irving St Nw Ste 2100n, Washington, DC 20010-2927 | 2012-06-11 |
| 1376804732 | Valentine Nofong | Surgery | 2041 Georgia Avenue Nw Howard University Hospital, Washington, DC 20060-1000 | 2012-06-01 |
| 1639455637 | Amy Elizabeth Dubois | Surgery | 1212 E Capitol St Ne, Washington, DC 20002-6244 | 2011-10-23 |
| 1639495799 | Taryn Elise Travis | Surgery | 110 Irving St Nw Rm 3b-55, Washington, DC 20010-3017 | 2010-04-14 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20060 |
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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.