DR. KENNETH EGBERT WILLIAMS (NPI# 1891766044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891766044 |
| Entity Type | Individual |
| Full Name | DR. KENNETH EGBERT WILLIAMS |
| Credential | M.D |
| Practice Address |
13601 Preston Rd Ste 1000w Dallas TX 75240-4911 |
| Mailing Address |
Po Box 650802 Dallas TX 75265-0802 |
| Practice Telephone | 9727155007 |
| Practice Fax Number | 9727155682 |
| Mailing Telephone | 9727155000 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2011-08-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
J8420 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 8CG951 | BCBS | 01 |
| TX | 135314614 | 05 | |
| TX | 135314615 | 05 | |
| TX | 135314604 | 05 | |
| TX | 135314613 | 05 | |
| TX | BCBS | 8CD667 | 01 |
| TX | BCBS | 8CN978 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588194377 | Kenneth Joseph Williams | Counselor | 26055 Burlwood Ave., Denham Springs, LA 70726 | 2017-06-14 |
| 1225577166 | Kenneth Wanye Williams | Assistant Behavior Analyst | 3427 Cobblestone Dr, Spencer, OK 73084-3257 | 2017-02-13 |
| 1760934772 | Kenneth D Williams | Home Health Aide | 1044 Robert Rd, Old Forge, PA 18518-1106 | 2016-10-26 |
| 1194271452 | Kenneth Darnell Lorenzo Williams | Massage Therapist | 20311 Westmoreland Rd, Detroit, MI 48219-1476 | 2016-08-28 |
| 1386025674 | Kenneth James Williams | Dentist | 7014 E Camelback Rd # 509, Scottsdale, AZ 85251-1227 | 2015-06-12 |
| 1699040030 | Kenneth Williams | Counselor | 44 White River Ln, Defiance, MO 63341-1640 | 2012-03-19 |
| 1760650535 | Kenneth John Williams | Chiropractor | 154 N Market St, Frederick, MD 21701-5423 | 2008-02-14 |
| 1962622738 | Kenneth Dean Williams | General Practice | 1001 Olivesburg Rd, Mansfield, OH 44905-1228 | 2007-04-26 |
| 1710007711 | Kenneth Walter Williams | Optometrist | 3250 Gateway Blvd, #152, Prescott, AZ 86303-6849 | 2007-03-31 |
| 1699830414 | Kenneth Allan Williams | Pharmacist | 5730 Crawfordsville Rd, Indianapolis, IN 46224-3704 | 2006-12-22 |
| Street Address |
13601 PRESTON RD STE 1000W |
| City | DALLAS |
| State | TX |
| Zip Code | 75240-4911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023013943 | Daniel Stephen Long | Anesthesiology | 13601 Preston Rd, Ste 1000w, Dallas, TX 75240-4911 | 2005-06-16 |
| 1437757382 | Beatrice Kubvaruno | Registered Nurse | 13601 Preston Rd, Dallas, TX 75240-4911 | 2020-10-13 |
| 1417567058 | Christie Windsor | Registered Nurse | 13601 Preston Rd, Dallas, TX 75240-4911 | 2020-08-07 |
| 1164922803 | Waymonette Tamara Hill | Licensed Vocational Nurse | 13601 Preston Rd, Dallas, TX 75240-4911 | 2018-02-20 |
| 1194225094 | Sylvie Molah | Registered Nurse | 13601 Preston Rd, Dallas, TX 75240-4911 | 2018-02-16 |
| 1356841381 | Gladys Gakurukeza | Registered Nurse | 13601 Preston Rd, Dallas, TX 75240-4911 | 2018-02-16 |
| 1225547888 | Stephanie Roelofs | Counselor | 13601 Preston Rd, Dallas, TX 75240-4911 | 2017-09-27 |
| 1740684356 | Irisa Health Services Inc | Home Health | 13601 Preston Rd, Suite 524w, Dallas, TX 75240-4911 | 2014-10-10 |
| 1528495371 | Sybrid Health LLC | Internal Medicine | 13601 Preston Rd, E740, Dallas, TX 75240-4911 | 2013-10-10 |
| 1366886830 | Metroplex Physicians Medical Services Pa | Surgery | 13601 Preston Rd, Suite 575e, Dallas, TX 75240-4911 | 2013-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469824 | Amber Christine Wrye | Counselor | 5433 Alpha Rd, Dallas, TX 75240 | 2019-10-25 |
| 1134610934 | Kristen Cairns | Counselor | 13140 Coit Rd # 328, Dallas, TX 75240 | 2018-05-29 |
| 1255821435 | Axiom Health Services, LLC | Specialist/Technologist, Other | 5422 Alpha Rd, Dallas, TX 75240 | 2018-05-14 |
| 1114438991 | Donald R Missel | Nurse Anesthetist, Certified Registered | 6606 Lbj Freeway, Suite 200, Dallas, TX 75240 | 2017-10-19 |
| 1689119307 | Ginger Lee Hagood | Counselor | 5580 Lbj Freeway, Suite 300, Dallas, TX 75240 | 2017-01-04 |
| 1831565712 | Stella I Clark | Nurse's Aide | 7373 Valley View Ln #2065, Dallas, TX 75240 | 2015-08-14 |
| 1790163608 | Shana Lynn Gangi | Social Worker | 13601 Preston Rd Ste W970, Dallas, TX 75240 | 2015-05-12 |
| 1134527096 | Jahvel Thompson | Physician Assistant | 8112 W. Spring Valley Rd., Dallas, TX 75240 | 2014-12-09 |
| 1295137396 | Rineil Francis Perez | Pharmacist | 13131 Monfort Dr, Dallas, TX 75240 | 2014-09-19 |
| 1255731311 | Arturo Ojeda | Counselor | 13140 Coit Rd Ste 326, Dallas, TX 75240 | 2014-08-26 |
| Find all providers in zip 75240 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548825110 | Alleviate Pain Center, LLC | Anesthesiology | 5801 Marvin D Love Fwy Ste 105, Dallas, TX 75237-2388 | 2019-05-08 |
| 1366937013 | Ld Anesthesia Consultants, Pllc | Anesthesiology | 5902 Goliad Ave, Dallas, TX 75206-6820 | 2018-06-26 |
| 1245723428 | Ld Wellness Pllc | Anesthesiology | 7331 Gaston Ave Ste 219, Dallas, TX 75214-4131 | 2018-06-12 |
| 1437654043 | Precision Med Consultants | Anesthesiology | 12200 Park Central Dr Ste 300, Dallas, TX 75251 | 2018-03-26 |
| 1750884847 | Midtex Medical Group Pllc- Dallas Series | Anesthesiology | 4228 N Central Expy Ste 104, Dallas, TX 75206-6558 | 2018-03-14 |
| 1427571355 | Interventional Spine & Pain, LLP | Anesthesiology | 8222 Douglas Avenue, Ste. 890, Dallas, TX 75225-7036 | 2017-07-23 |
| 1629506357 | Vanguard Pain Management, Pllc | Anesthesiology | 9080 Harry Hines Blvd Ste 110, Dallas, TX 75235-1700 | 2017-05-25 |
| 1215354972 | Ispine Sports Medicine and Pain Management, Pa | Anesthesiology | 2220 Canton St, Suite 211, Dallas, TX 75201-5923 | 2014-03-19 |
| 1770842338 | Hercules Pain Management LLC | Anesthesiology | 7988 W. Virginia, Suite 100, Dallas, TX 75237 | 2012-05-16 |
| 1336374727 | Tian Zhao | Anesthesiology | 5550 Lbj Fwy Ste 150, Dallas, TX 75240-2303 | 2009-05-28 |
| Find all providers in DALLAS | ||||
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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.