WYDELL L WILLIAMS JR. (NPI# 1679565238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679565238 |
| Entity Type | Individual |
| Full Name | WYDELL L WILLIAMS JR. |
| Credential | M.D. |
| Practice Address |
1111 Shadow Ln Las Vegas NV 89102-2314 |
| Practice Telephone | 7023834040 |
| Practice Fax Number | 7023830526 |
| Mailing Telephone | 7023834040 |
| Mailing Fax Number | 7023830526 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 8721 | NV | Allopathic & Osteopathic Physicians |
| Street Address |
1111 SHADOW LN |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102-2314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053303610 | Veronica C Callier | Physician Assistant | 1111 Shadow Ln, Las Vegas, NV 89102-2314 | 2005-08-19 |
| 1720406697 | Frances Phang | Surgery | 1111 Shadow Ln, Las Vegas, NV 89102-2314 | 2014-03-28 |
| 1851415509 | Elijah Michael Johnson | Surgery | 1111 Shadow Ln, Las Vegas, NV 89102-2314 | 2007-03-19 |
| 1841314036 | Michael Alan Benassi | Surgery | 1111 Shadow Ln, Las Vegas, NV 89102-2314 | 2007-03-16 |
| 1457492019 | Lewis & Lovett, Ltd | Specialist | 1111 Shadow Ln, Las Vegas, NV 89102-2314 | 2007-02-08 |
| 1588656144 | Craig L Iwamoto | Surgery | 1111 Shadow Ln, Las Vegas, NV 89102-2314 | 2005-08-19 |
| 1396737953 | James Dylan Curry | Surgery | 1111 Shadow Ln, Las Vegas, NV 89102-2314 | 2005-08-19 |
| 1205828860 | Lee M Reese | Surgery | 1111 Shadow Ln, Las Vegas, NV 89102-2314 | 2005-08-19 |
| 1841282308 | Terry R Lewis | Surgery | 1111 Shadow Ln, Las Vegas, NV 89102-2314 | 2005-08-19 |
| 1568454023 | James V Lovett | Surgery | 1111 Shadow Ln, Las Vegas, NV 89102-2314 | 2005-08-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
| 1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
| 1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
| 1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
| 1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
| 1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
| 1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
| 1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
| 1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
| 1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
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| 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 |
|---|---|---|---|---|
| 1316581663 | Lv Robotics | Surgery | 8954 Spanish Ridge Ave Ste 1, Las Vegas, NV 89148-1353 | 2019-10-30 |
| 1659834075 | Crossroads Saint LLC | Surgery | 1120 Shadow Ln Ste 120, Las Vegas, NV 89102-2342 | 2019-04-11 |
| 1629573555 | Talha Adil Rafeeqi | Surgery | 6655 S Cimarron Rd Ste 100, Las Vegas, NV 89113-2181 | 2018-03-23 |
| 1578090296 | Teddi Swidinsky | Surgery | 108 Legion Dr Ste B, Las Vegas, NM 87701-4898 | 2017-05-11 |
| 1700258712 | David Anthony Diorio | Surgery | 2221 Barchetta Dr, Las Vegas, NV 89134-6030 | 2015-10-29 |
| 1245602390 | Stem Cell Therapy of Las Vegas | Surgery | 2110 E Flamingo Rd Ste 333, Las Vegas, NV 89119-5190 | 2015-10-28 |
| 1588918205 | Joseph Thomas Carroll | Surgery | 1701 W Charleston Blvd Ste 400, Las Vegas, NV 89102 | 2012-11-02 |
| 1770850943 | Allan Macintyre Pllc | Surgery | 8872 S Eastern Ave, Suite 104, Las Vegas, NV 89123-4900 | 2011-11-16 |
| 1356633424 | Fradkin Surgical Services Pllc | Surgery | 9811 W Charleston Blvd Ste 2-366, Las Vegas, NV 89117-7528 | 2011-05-09 |
| 1386888147 | Shohrat Annaberdyev | Surgery | 6080 S Durango Dr Ste 105, Las Vegas, NV 89113-1778 | 2009-04-23 |
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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.