DR. BLAKE JERALD WILLIAMSON


Address: 14611 W 50th St, Shawnee, KS 66216-5116
Phone: 9132481903

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).

Provider Overview

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

Taxonomy

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

Other Providers BLAKE WILLIAMSON

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

Office Location

Street Address 14611 W 50TH ST
City SHAWNEE
State KS
Zip Code 66216-5116

Providers in the same zip code

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 Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City SHAWNEE
Zip Code 66216

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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