DR. JEREMY KIRK MCWILLIAMS (NPI# 1851325823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851325823 |
| Entity Type | Individual |
| Full Name | DR. JEREMY KIRK MCWILLIAMS |
| Credential | D.O. |
| Practice Address |
19782 Highway 105 West Suite 111 Montgomery TX 77356 |
| Practice Telephone | 9365820220 |
| Practice Fax Number | 9365820222 |
| Mailing Telephone | 9365820220 |
| Mailing Fax Number | 9365820222 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2019-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | M0818 | TX | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | MO818 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 175774201 | 05 |
| Street Address |
19782 HIGHWAY 105 WEST SUITE 111 |
| City | MONTGOMERY |
| State | TX |
| Zip Code | 77356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952919490 | Age Well Concierge Medicine | Family Medicine | 18441 Tx-105, Suite B, Montgomery, TX 77356 | 2020-07-21 |
| 1912549908 | Kindra Siewood | Speech-Language Pathologist | 15320 Tx-105 W, Suite 116, Montgomery, TX 77356 | 2019-10-11 |
| 1710545595 | Vaughn Motley Bryant IIi | Counselor | 14740 Liberty Street, Montgomery, TX 77356 | 2019-06-05 |
| 1871157420 | Belinda Kay Warren Delapena | Counselor | 3507 Whittier, Montgomery, TX 77356 | 2019-04-30 |
| 1841760071 | Cvs Pharmacy Inc | Pharmacy | 20125 Eva Street, Montgomery, TX 77356 | 2018-11-30 |
| 1750863429 | Kristina Lynn Knighten | Specialist/Technologist | 3602 Woodland Lane, Montgomery, TX 77356 | 2018-08-30 |
| 1770072415 | Crosby Pharmacy & Wellness, LLC | Pharmacy | 18446 Tx - 105 Ste D, Montgomery, TX 77356 | 2018-05-08 |
| 1760999726 | Everbright Dental Pllc | Dentist | 20212 Eva St., #160, Montgomery, TX 77356 | 2017-12-29 |
| 1821535261 | Ramon Campbell | Nurse Practitioner | 108 Harbour Town Drive, Montgomery, TX 77356 | 2017-01-24 |
| 1447628995 | Erica Everett | Nurse Practitioner | 110 April Wind Ct, Montgomery, TX 77356 | 2015-09-14 |
| Find all providers in zip 77356 | ||||
| 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 |
|---|---|---|---|---|
| 1952919490 | Age Well Concierge Medicine | Family Medicine | 18441 Tx-105, Suite B, Montgomery, TX 77356 | 2020-07-21 |
| 1992313670 | Integrated Medical Care Pllc | Family Medicine | 10427 Twin Circles Dr, Montgomery, TX 77356-4704 | 2020-07-17 |
| 1750906921 | Doctors Making Home Visits 1st Inc | Family Medicine | 922 S Perry St, Montgomery, AL 36104-5022 | 2020-06-12 |
| 1508496688 | Montgomery General Hospital, Inc | Family Medicine | 401 6th Ave Ste 301, Montgomery, WV 25136-2116 | 2020-01-17 |
| 1427521962 | Health Services, Inc | Family Medicine | 2801 Willena Ave, Montgomery, AL 36107-1055 | 2019-01-08 |
| 1750869814 | Nina Yvette Massey | Family Medicine | Baptist South Uab Multi Specialty Clinic, 2119 E. South Blvd, Montgomery, AL 36116 | 2018-08-01 |
| 1871010223 | Micah Bosley Md, Pllc | Family Medicine | 102 Piping Rock Dr, Montgomery, TX 77356-5860 | 2017-08-26 |
| 1003267899 | Your Doctor's Office, PC | Family Medicine | 8630 Vaughn Rd, Montgomery, AL 36117-8852 | 2016-06-23 |
| 1194175513 | Miho Suga | Family Medicine | 1801 Pine St Ste 301, Montgomery, AL 36106-1154 | 2016-06-16 |
| 1265834618 | Sarah Elizabeth Connors | Family Medicine | 4150 Carmichael Rd Ste B, Montgomery, AL 36106-2933 | 2014-09-17 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 77356 |
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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.