BERT WILLIAMS M.D. LLC (NPI# 1871781435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871781435 |
| Entity Type | Organization |
| Organization Name | BERT WILLIAMS M.D. LLC |
| Other Organization Name | MID-MARYLAND UROLOGIC SERVICES |
| Practice Address |
97 Thomas Johnson Dr Suite 102 Frederick MD 21702-4379 |
| Practice Telephone | 3016940414 |
| Practice Fax Number | 3016940415 |
| Mailing Telephone | 3016940414 |
| Mailing Fax Number | 3016940415 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2014-05-29 |
| Authorized Official Name | DR. BERT EDWARD WILLIAMS (PHYSICIAN/DOCTOR) |
| Authorized Official Telephone | 3016940414 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | D0054397 | MD | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mid-Maryland Urologic Services | Doing Business As Name - Organization |
| Street Address |
97 THOMAS JOHNSON DR SUITE 102 |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-4379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205827664 | Frederick Cardiovascular Care PC | Internal Medicine | 97 Thomas Johnson Dr, Ste 100, Frederick, MD 21702-4379 | 2005-11-03 |
| 1083802656 | Trevia Hayden, Md LLC. | Psychiatry & Neurology | 97 Thomas Johnson Dr, Suite 102, Frederick, MD 21702-4379 | 2007-10-09 |
| 1821131939 | Dawn R Mossburg | Nurse Practitioner | 97 Thomas Johnson Dr, Suite 101, Frederick, MD 21702-4373 | 2007-02-15 |
| 1588685465 | Frederick Psychology Center LLC | Clinic/Center | 97 Thomas Johnson Dr, Suite 202, Frederick, MD 21702-4373 | 2006-07-23 |
| 1154393270 | Kevin Richard Lawlor | Psychologist | 97 Thomas Johnson Dr, Suite 202, Frederick, MD 21702 | 2006-02-02 |
| 1235101361 | Timothy Allen Gibian | Psychologist | 97 Thomas Johnson Dr, Suite 202, Frederick, MD 21702 | 2006-02-02 |
| 1598737629 | Gregory Harry Powell | Psychologist | 97 Thomas Johnson Dr, Ste 202, Frederick, MD 21702 | 2006-02-02 |
| 1164494282 | Cynthia Sue Eaves | Psychologist | 97 Thomas Johnson Dr, Ste 202, Frederick, MD 21702 | 2006-02-02 |
| 1144202995 | Edwin T. Chen | Obstetrics & Gynecology | 97 Thomas Johnson Dr, Suite 101, Frederick, MD 21702-4373 | 2005-11-17 |
| 1932181781 | Debra Acerenza | Obstetrics & Gynecology | 97 Thomas Johnson Dr, Suite 101, Frederick, MD 21702-4373 | 2005-11-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578831145 | Frederick Health Medical Group LLC | Urology | 1562 Opossumtown Pike Ste 301, Frederick, MD 21702-4337 | 2011-12-09 |
| 1174750970 | Mohammed Haseebuddin | Urology | 184 Thomas Johnson Dr Ste 201, Frederick, MD 21702-4562 | 2009-06-18 |
| 1588708267 | Jared R. Berkowitz | Urology | 1562 Opossumtown Pike Fl 3, Frederick, MD 21702 | 2007-02-16 |
| 1760473599 | Robert D Crouch, Md, Pa | Urology | 900 Toll House Ave, Frederick, MD 21701-4547 | 2005-11-01 |
| 1851393896 | Mark Xavier Coyne | Urology | 186 Thomas Johnson Dr, Suite 104, Frederick, MD 21702-4305 | 2005-08-10 |
| 1972077261 | Family Urology Associates | Urology | 184 Thomas Johnson Dr Ste 201, Frederick, MD 21702-4562 | 2019-01-19 |
| 1477866127 | Frederick Memorial Hospital Inc | Urology | 900 Toll House Ave, Frederick, MD 21701-4547 | 2010-07-23 |
| 1023293826 | Mohammed M Mohiuddin | Urology | 801 Toll House Ave, Bldg B2, Frederick, MD 21701 | 2007-12-31 |
| 1225258205 | Mark X Coyne Md Pa | Urology | 186 Thomas Johnson Dr, Suite 104, Frederick, MD 21702-4305 | 2007-05-01 |
| 1528113040 | Cynthia J. Moorman, M.d., P.a. | Urology | 77 Thomas Johnson Dr, Suite K, Frederick, MD 21702-4893 | 2007-01-24 |
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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.