Wendell Hiebert Williams Jr. (NPI# 1376509679, PAC ID# 3173697406) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1376509679 |
| PAC ID by PECOS | 3173697406 |
| Professional Enrollment ID | I20100420000343 |
| Full Name | Wendell Hiebert Williams Jr. |
| Organization Legal Name | CISCA PULMONARY CRITICAL CARE INC |
| Address |
3627 University Blvd S Suite 300 Jacksonville FL 32216-4294 |
| Phone Number | 9043960300 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1975 |
| Primary Specialty | PULMONARY DISEASE |
| Secondary Specialties | CRITICAL CARE (INTENSIVISTS) |
| Group Practice PAC ID | 1951552371 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100179 | MEMORIAL HOSPITAL JACKSONVILLE |
| 100117 | BAPTIST MEDICAL CENTER BEACHES |
| Address | Phone | Organization |
|---|---|---|
| 3627 University Blvd S, Suite 300, Jacksonville, FL 32216-4294 | 9043960300 | CISCA PULMONARY CRITICAL CARE INC |
| 1361 13th S Ave, Suite 245, Jacksonville Beach, FL 32250-3238 | 9044937174 | CISCA PULMONARY CRITICAL CARE INC |
| Organization Legal Name | CISCA PULMONARY CRITICAL CARE INC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lucile R Cuenot | Nurse Practitioner | Cisca Pulmonary Critical Care Inc | 1361 13th S Ave, Suite 245, Jacksonville Beach, FL 32250-3238 |
| John T Daniels | Pulmonary Disease | Cisca Pulmonary Critical Care Inc | 1361 13th S Ave, Suite 245, Jacksonville Beach, FL 32250-3238 |
| George Andrew Schoonover | Pulmonary Disease | Cisca Pulmonary Critical Care Inc | 1361 13th S Ave, Suite 245, Jacksonville Beach, FL 32250-3238 |
| Alexis Agustine Vazquez | Pulmonary Disease | Cisca Pulmonary Critical Care Inc | 3627 University Blvd S, Suite 300, Jacksonville, FL 32216-4294 |
| Bruce Mitchell Yergin | Pulmonary Disease | Cisca Pulmonary Critical Care Inc | 1361 13th S Ave, Suite 245, Jacksonville Beach, FL 32250-3238 |
| Paul A Coley | Pulmonary Disease | Cisca Pulmonary Critical Care Inc | 3627 University Blvd S, Suite 300, Jacksonville, FL 32216-4294 |
| Street Address |
3627 UNIVERSITY BLVD S SUITE 300 |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32216-4294 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua Yeykal | General Surgery | Neptune Beach Surgical Specialists LLC | 3627 University Blvd S, Suite 305, Jacksonville, FL 32216-4294 |
| Eugene Griffin | Geriatric Medicine | Jacksonville Multispecialty Group, LLC | 3627 University Blvd S, Suite 615, Jacksonville, FL 32216-7401 |
| Helen Sesco | Nurse Practitioner | Jacksonville Multispecialty Group, LLC | 3627 University Blvd S, Suite 615, Jacksonville, FL 32216-7401 |
| Marwan Shaykh | Obstetrics/gynecology | 3627 University Blvd S, Suite 450, Jacksonville, FL 32216-4238 | |
| Daniel C Mcdyer | Obstetrics/gynecology | Florida Woman Care LLC | 3627 University Blvd S, Suite 340, Jacksonville, FL 32216-4294 |
| Marsha L Lachaud | Obstetrics/gynecology | Memorial Family Practice Associates, LLC | 3627 University Blvd S, Suite 200, Jacksonville, FL 32216-4256 |
| Lorrie Bielen | Qualified Audiologist | Advanced Otolaryngology Services Pa | 3627 University Blvd S, Suite 210, Jacksonville, FL 32216-4256 |
| Samantha Ann Lance | Nurse Practitioner | Jacksonville Multispecialty Group, LLC | 3627 University Blvd S, Suite 615, Jacksonville, FL 32216-7401 |
| Samantha R Hanes | Nurse Practitioner | Memorial Family Practice Associates, LLC | 3627 University Blvd S, Suite 300, Jacksonville, FL 32216-4294 |
| John M Hale | Physician Assistant | Neptune Beach Surgical Specialists LLC | 3627 University Blvd S, Suite 305, Jacksonville, FL 32216-4294 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eula B Kovacs | Clinical Social Worker | 7035 Phillips Hwy, Suite 38, Jacksonville, FL 32216 | |
| Rebecca K Reza | Nurse Practitioner | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Jessica Lynn Burkett | Nurse Practitioner | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Diana C Maccario | Family Medicine | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Vonda Marie Love | Nurse Practitioner | Rmed LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| John Paul Guercio | Internal Medicine | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Guilad Pribluda | Internal Medicine | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Bhavesh S Patel | Internal Medicine | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Arnel Larcia | Internal Medicine | Rmed LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Kelly Bingham Traylor | Nurse Practitioner | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Find all physicians in zip 32216 | |||
| City | JACKSONVILLE |
| Zip Code | 32216 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | JACKSONVILLE + PULMONARY DISEASE |
Please comment or provide details below to improve the information on Wendell Hiebert Williams Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.