DR. PATRICK SHANE WILLIAMS (NPI# 1891133344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891133344 |
| Entity Type | Individual |
| Full Name | DR. PATRICK SHANE WILLIAMS |
| Credential | MD |
| Practice Address |
123 Professional Park Drive Locust NC 28097-7712 |
| Mailing Address |
123 Professional Park Drive Locust NC 28097-2441 |
| Practice Telephone | 7046310002 |
| Mailing Telephone | 7047212063 |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2016-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 191369 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1891133344 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902216567 | Patrick Aaron Williams | Counselor | Po Box 123, Corunna, MI 48817-0123 | 2014-05-05 |
| 1902238017 | Patrick Mario Williams | Occupational Therapy Assistant | 301 Old Highway 99 North, Tenino, WA 98589 | 2013-07-31 |
| 1396061537 | Patrick Ashley Williams | Physical Therapist | 7430 E Pinnacle Peak Rd Ste 138, Scottsdale, AZ 85255-3630 | 2010-04-13 |
| 1164566451 | Patrick Wayne Williams | Pharmacist | 608 Enon Springs Rd E, Smyrna, TN 37167-4410 | 2007-02-19 |
| 1447333091 | Patrick J. Williams | Psychologist | 4145 Columbia Road, Martinez, GA 30907 | 2006-10-24 |
| 1861423386 | Patrick Williams | Physical Therapist | 200 Cleaver Farm Rd, Suite 400, Middletown, DE 19709-1630 | 2006-07-05 |
| 1346243136 | Patrick Kevin Williams | Internal Medicine | 511 Medical Plaza Dr, Suite 101, Leesburg, FL 34748-7326 | 2005-05-24 |
| 1861036931 | Patrick Kenneth Williams | Behavior Technician | 3680 S Cedar St Ste A, Tacoma, WA 98409-5728 | 2019-11-01 |
| 1427614759 | Patrick Everton Williams | Student in an Organized Health Care Education/Training Program | 5301 S Congress Ave, Atlantis, FL 33462-1149 | 2019-05-13 |
| 1639665797 | Patrick John Williams | Physical Therapist | 2904 W Horizon Ridge Pkwy Ste 121, Henderson, NV 89052-5016 | 2018-07-02 |
| Street Address |
123 PROFESSIONAL PARK DRIVE |
| City | LOCUST |
| State | NC |
| Zip Code | 28097-7712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477906063 | Amanda Tucker Queen | Massage Therapist | 117 Renee Ford Rd, Locust, NC 28097 | 2016-07-19 |
| 1184841280 | Community Pharmacy of Locust LLC. | Durable Medical Equipment & Medical Supplies | 236 Market Street, Suite 100, Locust, NC 28097 | 2007-04-19 |
| 1417160177 | Jason E. Martin, Dds, Pa | Dentist | 236 Market Street, Suite 200, Locust, NC 28097 | 2007-05-08 |
| 1558487991 | First Care Medical Clinic | Pediatrics | 210 West Main Street, Locust, NC 28097 | 2007-03-21 |
| 1639778905 | Intentional Growth Behavioral Health Services, Pllc | Social Worker | 544 Contentment Dr, Locust, NC 28097-0045 | 2020-10-19 |
| 1356575005 | Raymond Ross Perez | Family Medicine | 236 Market St Ste 110, Locust, NC 28097-1312 | 2009-05-11 |
| 1356358576 | Robert Lee Seymour | Dentist | 403 S Central Ave, Locust, NC 28097-7142 | 2006-08-01 |
| 1639618713 | Wael Zeitouni, Dds, Pllc | Dentist | 403 S Central Ave, Locust, NC 28097-7142 | 2017-02-22 |
| 1912131384 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1876 Main St W, Locust, NC 28097-7700 | 2009-05-13 |
| 1093926503 | Jan Gail Hardcopf -bickley | Occupational Therapist | 1800 Main St W, Locust, NC 28097-7700 | 2007-05-25 |
| Find all providers in zip 28097 | ||||
| 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 |
|---|---|---|---|---|
| 1356575005 | Raymond Ross Perez | Family Medicine | 236 Market St Ste 110, Locust, NC 28097-1312 | 2009-05-11 |
| 1649268459 | Ricardo Vargas | Family Medicine | 236 Market St, Suite 110, Locust, NC 28097-9437 | 2005-10-06 |
| 1619371697 | Carolinas Physicians Network, Inc. | Family Medicine | 103 Stanly Pkwy, Suite A, Locust, NC 28097-7710 | 2014-10-20 |
| 1215274758 | Stanly Medical Services | Family Medicine | 103 Stanly Pkwy, Suite C, Locust, NC 28097-7710 | 2013-01-03 |
| 1225268170 | Carolinas Physicians Network Inc | Family Medicine | 123 Professional Park Dr, Locust, NC 28097-7712 | 2009-07-24 |
| 1457541906 | Margaret Trzebiatowski | Family Medicine | 123 Professional Park Dr, Locust, NC 28097-7712 | 2007-07-31 |
| 1033193586 | Steven Lucas | Family Medicine | 123 Professional Park Dr, Locust, NC 28097-7712 | 2005-11-29 |
| 1073594305 | Stanly Medical Services | Family Medicine | 103 Stanly Pkwy, Suite B, Locust, NC 28097-7704 | 2005-11-14 |
| 1871574921 | Stanly Medical Services | Family Medicine | 103 Stanly Pkwy, Suite A, Locust, NC 28097-7710 | 2005-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710586581 | Fhpg, LLC | Family Medicine | 1690 Us Highway 1 S Ste 200, Southern Pines, NC 28387-7037 | 2020-10-22 |
| 1225637333 | Mcpc-8, LLC | Family Medicine | 3110 S Horner Blvd Ste 4&5, Sanford, NC 27332-8212 | 2020-10-20 |
| 1740889864 | Mcpc-8, LLC | Family Medicine | 1690 Us Highway 1 S Ste 100, Southern Pines, NC 28387-7037 | 2020-10-20 |
| 1851999882 | Integrative Wellness Partners, Inc | Family Medicine | 3555 Hansa Dr, Castle Hayne, NC 28429-5863 | 2020-10-12 |
| 1124625504 | Tiffany Anne Swanson | Family Medicine | 405 Climax St, Graham, NC 27253-1608 | 2020-10-08 |
| 1235745985 | Alegis Care - North Carolina PC | Family Medicine | 11016 Rushmore Dr Ste 300, Charlotte, NC 28277-3651 | 2020-09-18 |
| 1902411077 | Carolina Medical Partners Pllc | Family Medicine | 10535 Flennigan Way, Charlotte, NC 28277-1417 | 2020-09-15 |
| 1558975433 | Kerr Area Rural Medical Alliance Pllc | Family Medicine | 266 Raymond Tharrington Rd, Louisburg, NC 27549-9687 | 2020-09-08 |
| 1083226906 | Relymd Medical Group Nc, Pllc | Family Medicine | 212 S Tryon St Ste 1000, Charlotte, NC 28281-0001 | 2020-08-21 |
| 1184233884 | Brittany Joyce Mcneil | Family Medicine | 1010 S 16th St, Wilmington, NC 28401-8018 | 2020-07-28 |
| Find all providers with the same taxonomy | ||||
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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.