DR. MORTIMER LEE WILLIAMS (NPI# 1952504490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952504490 |
| Entity Type | Individual |
| Full Name | DR. MORTIMER LEE WILLIAMS |
| Credential | MD ASSOC PROFESSOR E |
| Practice Address |
139 Lee Lane Irvington VA 22480 |
| Mailing Address |
Po Box 723 139 Lee Lane Irvington VA 22480 |
| Practice Telephone | 8044386352 |
| Practice Fax Number | 8044386352 |
| Mailing Telephone | 8044386352 |
| Mailing Fax Number | 8044386352 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
VA 0101010010 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PIN | V23151RX | 01 |
| Street Address |
139 LEE LANE |
| City | IRVINGTON |
| State | VA |
| Zip Code | 22480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124397765 | Francisco Del Villar | Dentist | 12889-10 Alba Roja Ave, Tijuana, BC 22480 | 2011-12-28 |
| 1144566670 | Robert Stephen Westbrook | Dentist | 4346 Irvington Rd, Irvington, VA 22480-2120 | 2013-01-03 |
| 1366423501 | Rappahannock Westminster-canterbury, Inc. | Skilled Nursing Facility | 132 Lancaster Dr, Irvington, VA 22480-9740 | 2005-11-07 |
| 1114549227 | Rappahannock Westminster-canterbury, Inc. | Internal Medicine | 132 Lancaster Dr, Irvington, VA 22480-9740 | 2020-05-12 |
| 1720579527 | Rappahannock Westminster-canterbury, Inc. | Clinic/Center | 132 Lancaster Dr, Irvington, VA 22480-9740 | 2018-05-29 |
| 1407345093 | Michelle Miller Lybarger | Physical Therapist | 132 Lancaster Dr, Irvington, VA 22480-9740 | 2018-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061638 | Toyin O Falaiye | Community Health Worker | 267 Ellis Ave Apt 3, Irvington, NJ 07111-4439 | 2020-10-20 |
| 1386242626 | Ebenezer Boahen | Registered Nurse | 16 Marshall St Apt 4h, Irvington, NJ 07111-8604 | 2020-10-09 |
| 1518574680 | Collaborative Connections LLC | Marriage & Family Therapist | 39 20th Ave Fl 2, Irvington, NJ 07111-4451 | 2020-09-23 |
| 1932711520 | Mrunali Shah | Home Health Aide | 50 Union Ave Ste 606, Irvington, NJ 07111-3262 | 2020-08-17 |
| 1548871163 | Le Choix Home Care LLC | Home Health | 1395-1399 Clinton Ave, Irvington, NJ 07111 | 2020-08-17 |
| 1235740796 | Niulquie Virginia Sajous-mckinney | Midwife, Lay | 97 Smith St, Irvington, NJ 07111-2022 | 2020-08-10 |
| 1356968036 | Psp Transportation LLC | Non-emergency Medical Transport (VAN) | 280 Orange Ave # 1, Irvington, NJ 07111-2129 | 2020-06-29 |
| 1093331357 | Leah Bacharach | Specialist | 30 Sycamore Ln, Irvington, NY 10533-1918 | 2020-06-23 |
| 1144846650 | Sandra Allison Stuart | Social Worker | 264 Nesbit Ter, Irvington, NJ 07111-1773 | 2020-06-20 |
| 1033735808 | Educational Center for The Disables. N J Non Profit | Nursing Care | 512 Union Ave Apt B2, Irvington, NJ 07111-2863 | 2020-06-17 |
| Find all providers in IRVINGTON | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164946950 | Robert S Schmidt, Md Pllc | Otolaryngology | 1630 Wilkes Ridge Pkwy Ste 104, Richmond, VA 23233-7460 | 2017-08-02 |
| 1629279047 | Travis Laron Shaw | Otolaryngology | 8730 Stony Point Pkwy, Suite 120, Richmond, VA 23235-1970 | 2007-05-31 |
| 1023185394 | Tamer Ghanem | Otolaryngology | Dept. Otolaryngology, University of Virginia, 1 Hospital Dr., 2nd Floor Oms Rm 2747, Charlottesville, VA 22908 | 2006-11-29 |
| 1942384433 | Jeffrey Gardner Neal | Otolaryngology | 176 Valley St W, Abingdon, VA 24210-2836 | 2006-10-24 |
| 1790747889 | Cameron Alexander Gillespie | Otolaryngology | 104 Doctors Park, Galax, VA 24333-2276 | 2006-04-04 |
| 1609843697 | Denton Dean Weiss | Otolaryngology | 272 Bendix Rd, Suite 100, Virginia Beach, VA 23452-1367 | 2006-03-08 |
| 1922091917 | Michael Arthur Alexiou | Otolaryngology | 2062 Pro Pointe Ln, Harrisonburg, VA 22801-8021 | 2005-08-25 |
| 1174968440 | William M Dougherty | Otolaryngology | 600 Gresham Dr Ste 1100, Norfolk, VA 23507-1904 | 2013-05-01 |
| 1720259054 | Fairfax Ent & Facial Plastic Surgery, PC | Otolaryngology | 8120 Gatehouse Rd, #3, Falls Church, VA 22042-1204 | 2008-03-14 |
| 1760579106 | Ear Nose & Throat Ltd | Otolaryngology | 901 Hampton Blvd, Norfolk, VA 23507-1503 | 2006-10-06 |
| 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.