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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 1999135803 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | TAX IDENTIFICATION | 201597188 | 01 |
MO | 204812812 | 05 |
Street Address |
2310 HWY 94 SOUTH OUTER ROAD |
City | SAINT CHARLES |
State | MO |
Zip Code | 63303-2104 |
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 Code | 204C00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Neuromusculoskeletal Medicine, Sports Medicine |
Definition to come. |
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 |
City | SAINT CHARLES |
Zip Code | 63303 |
Please comment or provide details below to improve the information on DR. CYD CHARISSE THOMAS WILLIAMS.
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.