DR. MICHAEL STEPHEN WILLIAMS JR. (NPI# 1750544011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750544011 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL STEPHEN WILLIAMS JR. |
| Credential | M.D. |
| Practice Address |
3635 Vista Ave Dept. of Surgery Saint Louis MO 63110-2539 |
| Mailing Address |
2454 Fairoyal Dr Saint Louis MO 63131-1915 |
| Practice Telephone | 3145778310 |
| Mailing Telephone | 3144794972 |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2015-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
2008016771 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265056006 | Michael Andrew Williams | Physical Therapist | 11165 Caminito Vista Serena, San Diego, CA 92131-3304 | 2020-06-07 |
| 1629691159 | Michael Leon Williams | Psychologist | 2901 Troost Ave # 64109, Kansas City, MO 64109-1538 | 2020-05-19 |
| 1093345241 | Michael R. Williams | Social Worker | 304 Laurel Rise Ln, Columbia, SC 29229-7403 | 2020-01-16 |
| 1437796836 | Michael Ray Williams | Psychologist | 3319 N University Ave Ste 100, Provo, UT 84604-4447 | 2019-12-04 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1992231633 | Michael Williams | Contractor | 8590 Production Ave, Suite B, San Diego, CA 92121-2281 | 2017-05-01 |
| 1043750227 | Michael Xavier Williams | Student in an Organized Health Care Education/Training Program | 848 Keystone Way, Newport, PA 17074 | 2017-03-07 |
| 1215489893 | Michael T. Williams Jr. | Private Vehicle | 8 Milliner St, Rochester, NY 14611-1112 | 2016-10-28 |
| 1326407115 | Michael Williams | Chore Provider | 20452 Sunbright Ln, Germantown, MD 20874-1088 | 2016-02-22 |
| 1013382670 | Michael V Williams Jr. | Counselor | 3110 Clay St, Columbus, GA 31903-1926 | 2015-12-08 |
| Street Address |
3635 VISTA AVE DEPT. OF SURGERY |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-2539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891790689 | Rajeswari Chintapalli | Anesthesiology | 3635 Vista Ave, Saint Louis, MO 63110-2539 | 2005-06-17 |
| 1932711389 | Breezy Summer Stanley | Nurse Practitioner | 3635 Vista Ave, Saint Louis, MO 63110-2539 | 2020-08-18 |
| 1235756842 | Trisha Ann Janis | Nurse Practitioner | 3635 Vista Ave, Saint Louis, MO 63110-2500 | 2020-06-30 |
| 1780207167 | Michelle Reale | Speech-Language Pathologist | 3635 Vista Ave, Saint Louis, MO 63110-2539 | 2020-05-20 |
| 1801418926 | Jason Adam Horowitz | Student in an Organized Health Care Education/Training Program | 3635 Vista Ave, Saint Louis, MO 63110-2539 | 2020-05-12 |
| 1255953378 | Luke Andrew Momper | Student in an Organized Health Care Education/Training Program | 3635 Vista Ave, Saint Louis, MO 63110-2539 | 2020-05-12 |
| 1063034197 | Tyler Daniel Ragsdale | Student in an Organized Health Care Education/Training Program | 3635 Vista Ave, Saint Louis, MO 63110-2539 | 2020-05-12 |
| 1417579541 | Kelyn N Pittman | Student in an Organized Health Care Education/Training Program | 3635 Vista Ave, Saint Louis, MO 63110-2539 | 2020-05-12 |
| 1881216901 | Purav Sudhir Brahmbhatt | Student in an Organized Health Care Education/Training Program | 3635 Vista Ave, Saint Louis, MO 63110-2539 | 2020-05-12 |
| 1578185989 | Feras Kaid | Radiologic Technologist | 3635 Vista Ave, Saint Louis, MO 63110-2539 | 2020-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 |
|---|---|---|---|---|
| 1376801548 | Matthew Raymond Abate | Surgery | 10012 Kennerly Rd Ste 305, Saint Louis, MO 63128-2197 | 2012-04-25 |
| 1518992429 | Ayaz A Malik | Surgery | 1035 Bellevue Ave Ste 212, Saint Louis, MO 63117-1846 | 2006-07-11 |
| 1083687859 | Vidal T Sheen | Surgery | 11144 Tesson Ferry Rd, Suite 100, Saint Louis, MO 63123-6965 | 2006-02-10 |
| 1770145401 | Brian Patrick Sullivan | Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2019-07-02 |
| 1467947382 | Momodou L Jammeh | Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 | 2018-06-22 |
| 1861912529 | Katherine Marie Holzem | Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2017-06-23 |
| 1922458892 | Bradley John Bowles | Surgery | 3635 Vista At Grand Boulevard, Saint Louis, MO 63110-4271 | 2016-06-21 |
| 1962852178 | Brandon D Downing | Surgery | 660 S Euclid Ave, Campus Box 8109, 5103a Queeny Tower, Saint Louis, MO 63110-1010 | 2016-06-18 |
| 1093078115 | John Westley Ohman | Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2012-06-22 |
| 1093946873 | Suaiman Syed Shoab | Surgery | 3655 Vista Ave, Saint Louis, MO 63110-2539 | 2009-07-28 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
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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.