Blake Anthony Williams (NPI# 1194082057, PAC ID# 3779800073) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1194082057 |
| PAC ID by PECOS | 3779800073 |
| Professional Enrollment ID | I20160715000172 |
| Full Name | Blake Anthony Williams |
| Organization Legal Name | PREMIER DERMATOLOGY PLLC |
| Address |
901 Se Plaza Ave Suite 5 Bentonville AR 72712-5473 |
| Phone Number | 4792733376 |
| Gender | M |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 4082926803 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 901 Se Plaza Ave, Suite 5, Bentonville, AR 72712-5473 | 4792733376 | PREMIER DERMATOLOGY PLLC |
| Organization Legal Name | PREMIER DERMATOLOGY PLLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kattie J Allen | Dermatology | Premier Dermatology Pllc | 901 Se Plaza Ave, Suite 5, Bentonville, AR 72712-5473 |
| Kara J Richardson | Physician Assistant | Premier Dermatology Pllc | 1438 E Augustine Ln, Suite 2, Fayetteville, AR 72703-4943 |
| Eric Eugene Belin | Dermatology | Premier Dermatology Pllc | 901 Se Plaza Ave, Suite 5, Bentonville, AR 72712-5473 |
| Jenny Simmons | Physician Assistant | Premier Dermatology Pllc | 901 Se Plaza Ave, Suite 5, Bentonville, AR 72712-5473 |
| Brittany N Aguirre | Physician Assistant | Premier Dermatology Pllc | 1438 E Augustine Ln, Suite 2, Fayetteville, AR 72703-4943 |
| Mildred M Clifton | Dermatology | Premier Dermatology Pllc | 901 Se Plaza Ave, Suite 5, Bentonville, AR 72712-5473 |
| Adrienne E Easterling | Physician Assistant | Premier Dermatology Pllc | 1438 E Augustine Ln, Suite 2, Fayetteville, AR 72703-4943 |
| Rebekah Grace Baltz | Dermatology | Premier Dermatology Pllc | 1438 E Augustine Ln, Suite 2, Fayetteville, AR 72703-4943 |
| Nathaniel M Phelan | Dermatology | Premier Dermatology Pllc | 901 Se Plaza Ave, Suite 5, Bentonville, AR 72712-5473 |
| Street Address |
901 SE PLAZA AVE SUITE 5 |
| City | BENTONVILLE |
| State | AR |
| Zip | 72712-5473 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kattie J Allen | Dermatology | Premier Dermatology Pllc | 901 Se Plaza Ave, Suite 5, Bentonville, AR 72712-5473 |
| Eric Eugene Belin | Dermatology | Premier Dermatology Pllc | 901 Se Plaza Ave, Suite 5, Bentonville, AR 72712-5473 |
| Jenny Simmons | Physician Assistant | Premier Dermatology Pllc | 901 Se Plaza Ave, Suite 5, Bentonville, AR 72712-5473 |
| Mildred M Clifton | Dermatology | Premier Dermatology Pllc | 901 Se Plaza Ave, Suite 5, Bentonville, AR 72712-5473 |
| Nathaniel M Phelan | Dermatology | Premier Dermatology Pllc | 901 Se Plaza Ave, Suite 5, Bentonville, AR 72712-5473 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa A Campbell | Nurse Practitioner | Pain Treatment Centers of America Pllc | 1502 Se 28th St, Suite 8, Bentonville, AR 72712-0076 |
| Dorothy L Mellon | Otolaryngology | 1502 Se 28th St, Suite 6, Bentonville, AR 72712-0076 | |
| Christian C Robertozzi | Physical Therapy | Bentonville Physical Therapy Specialists | 907 Se Village Loop, Suite 5, Bentonville, AR 72712-2229 |
| Kara Jackson | Physical Therapy | Bentonville Physical Therapy Specialists | 907 Se Village Loop, Suite 5, Bentonville, AR 72712-2229 |
| Lisa A Bearden | Obstetrics/gynecology | Women's Health Associates of Nwa Pllc | 500 Se Plaza Ave, Bentonville, AR 72712-3104 |
| Amy Deanne Sarver | Obstetrics/gynecology | Women's Health Associates of Nwa Pllc | 500 Se Plaza Ave, Bentonville, AR 72712-3104 |
| Amber J Sills | Obstetrics/gynecology | Women's Health Associates of Nwa Pllc | 500 Se Plaza Ave, Bentonville, AR 72712-3104 |
| Eric B. Santos | Chiropractic | 1706 Se Walton Blvd, Suite 6, Bentonville, AR 72712-3201 | |
| Valerie Bedwell | Nurse Practitioner | Northwest Benton County Physician Services LLC | 2900 Medical Ctr Pkwy, Bentonville, AR 72712-3204 |
| Kelsey Danielle Gilley | Certified Nurse Midwife (cnm) | Northwest Benton County Physician Services LLC | 2900 Medical Ctr Pkwy, Bentonville, AR 72712-3204 |
| Find all physicians in zip 72712 | |||
| City | BENTONVILLE |
| Zip Code | 72712 |
| Specialty | DERMATOLOGY |
| City + Specialty | BENTONVILLE + DERMATOLOGY |
Please comment or provide details below to improve the information on Blake Anthony Williams.
| 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.