DR. CYD CHARISSE THOMAS WILLIAMS


Address: 2310 Hwy 94 South Outer Road, Saint Charles, MO 63303-2104
Phone: 6365524275

DR. CYD CHARISSE THOMAS WILLIAMS (NPI# 1790728632) 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) 1790728632
Entity Type Individual
Full Name DR. CYD CHARISSE THOMAS WILLIAMS
Credential M.D.
Practice Address 2310 Hwy 94 South Outer Road
Saint Charles
MO 63303-2104
Mailing Address 2310 Hwy 94 S Outer Rd
Saint Charles
MO 63303-8301
Practice Telephone 6365524275
Practice Fax Number 8883862172
Mailing Telephone 6365524275
Mailing Fax Number 8883862172
Enumeration Date 2006-06-14
Last Update Date 2014-02-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 204C00000X Neuromusculoskeletal Medicine, Sports Medicine 1999135803 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO TAX IDENTIFICATION 201597188 01
MO 204812812 05

Office Location

Street Address 2310 HWY 94 SOUTH OUTER ROAD
City SAINT CHARLES
State MO
Zip Code 63303-2104

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083214787 Michael Frederick Pharmacist 2855 Veterans Memorial Parkway, (pharmacy), Saint Charles, MO 63303 2020-10-30
1710525639 Cheryl Ann O'dell Pharmacist Schnucks Pharmacy, 60 Harvester Square, St Charles, MO 63303 2019-12-11
1255821302 Melinda R Winfield Nurse Practitioner 1313 Park Ct, Saint Charles, MO 63303 2018-05-15
1467904839 Heather Lilledahl Speech-Language Pathologist 2800 Old Muegge Road, Saint Charles, MO 63303 2016-11-01
1437608312 Preferred Family Healthcare Counselor 1559 Old S. River Road, St.charles, MO 63303 2016-10-03
1487109146 Annette Patricia Davenport Nurse Practitioner 1551 Wall Street, Logistics Health Inc, Suite 100, Saint Charles, MO 63303 2016-08-23
1053762328 Sarah Biondo Speech-Language Pathologist 7204 Fountainview Circle, Ofallon, MO 63303 2016-06-28
1710331335 Lindsey Ann Eilers Counselor 1570 South Main, Saint Charles, MO 63303 2016-04-20
1174914600 Jacquelyn Michele Miller Pharmacy Technician 3881 Mexico Road, Saint Charles, MO 63303 2015-02-05
1164838132 Francelle Denise Neal Counselor 2480 Executive Dr Ste 111, Saint Charles, MO 63303 2014-07-10
Find all providers in zip 63303

Taxonomy Information

Taxonomy Code 204C00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neuromusculoskeletal Medicine, Sports Medicine

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1992884217 Lordex Spine Center of Columbia P.C. Neuromusculoskeletal Medicine, Sports Medicine 3400 Buttonwood Dr, Ste C, Columbia, MO 65201-3720 2006-11-06
1437194925 Manual Therapy Center, LLC Neuromusculoskeletal Medicine, Sports Medicine 19401 E Us Highway 40, Suite 200, Independence, MO 64055-5451 2006-06-18
1255811337 Institute for Regenerative Meidicine LLC Neuromusculoskeletal Medicine, Sports Medicine 7721 Clayton Rd, Clayton, MO 63117-1301 2018-08-17
1609021104 Stephen Russell Bergman Neuromusculoskeletal Medicine, Sports Medicine 800 W Jefferson St, Kirksville, MO 63501-1443 2008-11-25
1144339334 Athletics Sports Medicine Neuromusculoskeletal Medicine, Sports Medicine 7508 Big Bend Blvd, Saint Louis, MO 63119-2104 2006-08-30
1033130588 Jay Noffsinger Neuromusculoskeletal Medicine, Sports Medicine 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2006-07-21
1497720825 George Arthur Paletta Jr. Neuromusculoskeletal Medicine, Sports Medicine 14825 N Outer 40, Suite 200, Chesterfield, MO 63017-2026 2006-02-20
1215902648 Lyndon Bernard Gross Neuromusculoskeletal Medicine, Sports Medicine 14825 N Outer 40, Suite 200, Chesterfield, MO 63017-2026 2006-02-20

Competitor

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City SAINT CHARLES
Zip Code 63303

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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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