DR. BLAKE JERALD WILLIAMSON (NPI# 1710244124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710244124 |
Entity Type | Individual |
Full Name | DR. BLAKE JERALD WILLIAMSON |
Credential | MD |
Practice Address |
14611 W 50th St Shawnee KS 66216-5116 |
Practice Telephone | 9132481903 |
Mailing Telephone | 9132481903 |
Enumeration Date | 2012-04-23 |
Last Update Date | 2012-04-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 2003018093 | MO | Allopathic & Osteopathic Physicians |
N | 207Q00000X | Family Medicine | 04-23901 | KS | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720370067 | Blake Kennedy Williamson | Ophthalmology | 550 Connell Park Ln, Baton Rouge, LA 70806-6539 | 2011-05-04 |
1093032641 | Blake D Williamson | Counselor | 3530 1st Ave N, Suite 217, St Petersburg, FL 33713-8435 | 2010-04-22 |
1992924021 | Blake Williamson | Dentist | 9550 Forest Ln, Ste 700, Dallas, TX 75243-5905 | 2007-04-25 |
Street Address |
14611 W 50TH ST |
City | SHAWNEE |
State | KS |
Zip Code | 66216-5116 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912431925 | Sara Fattaey | Social Worker | 7020 Constance St, Shawnee, KS 66216 | 2017-04-17 |
1952778631 | Martin Gale Volker | Pharmacist | 13550 W 63rd Street, Shawnee, KS 66216 | 2015-08-28 |
1952799827 | Susan Thomure | Physical Therapy Assistant | 6401 Long, Shawnee, KS 66216 | 2014-12-31 |
1144594326 | Tom Wigginton Medical, Inc. | Durable Medical Equipment & Medical Supplies | 12616 W 62nd Terr., Suite 115c, Shawnee, KS 66216 | 2012-03-06 |
1548572811 | Tyler Ross Young | Optometrist | 12129 Shawnee Mission Pkwy, Shawnee, KS 66216 | 2010-07-02 |
1689801441 | Charles Richard Ford | Ophthalmology | 4742 Black Swan Drive, Shawnee, KS 66216 | 2009-06-18 |
1659412237 | Carol J. Akers | Dentist | 12480 W 62nd Ter Ste 200, Shawnee, KS 66216 | 2007-02-08 |
1699788307 | Douglas A Anderson | Chiropractor | 12510 W 62nd Terrace, Ste #101, Shawnee, KS 66216 | 2006-08-14 |
1861442451 | Dayna M Brinckman | Dentist | 7407 Noland Rd, Shawnee, KS 66216 | 2006-05-12 |
1932164894 | Vintage Park At Lenexa LLC | Assisted Living Facility | 8710 Caenen Lake Road, Lenexa, KS 66216 | 2006-04-20 |
Find all providers in zip 66216 |
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 |
---|---|---|---|---|
1316450133 | Shawnee Mission Medical Center Inc | Family Medicine | 10824 Shawnee Mission Pkwy, Shawnee, KS 66203-3512 | 2017-11-15 |
1962807123 | Xpress Wellness LLC | Family Medicine | 8 E Macarthur St, Shawnee, OK 74804-2135 | 2014-10-30 |
1639512395 | Marjon Monfared | Family Medicine | 6815 Hilltop Rd Ste 100, Shawnee, KS 66226 | 2013-04-12 |
1902146723 | Mashek Health Services, LLC | Family Medicine | 4521 Gracelann, Shawnee, OK 74804-2366 | 2013-02-15 |
1821126566 | Jawaria Khalid | Family Medicine | 10824 Shawnee Mission Parkway, Shawnee, KS 66203-3512 | 2007-03-02 |
1740338359 | Terese A Bauer | Family Medicine | 10820 W 64th St Ste 202, Gianna Family Care, Shawnee, KS 66203-3571 | 2007-01-08 |
1174608319 | Mitchell A Wolf | Family Medicine | 3214 Kethley Rd, Shawnee, OK 74804-9625 | 2006-10-26 |
1215029392 | George J Bures Jr. | Family Medicine | 7255 Renner Rd., Shawnee, KS 66217 | 2006-09-28 |
1942317854 | Shawnee Mission Medical Center, Inc. | Family Medicine | 11245 Shawnee Mission Parkway, Shawnee, KS 66203-3333 | 2006-08-24 |
1598705626 | Mary Sue Kendrick | Family Medicine | 2801 Saratoga St, Shawnee, OK 74804-1739 | 2006-06-07 |
Find all providers in SHAWNEE |
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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.