Michael R Williams (NPI# 1700820453, PAC ID# 4284730326) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1700820453 |
| PAC ID by PECOS | 4284730326 |
| Professional Enrollment ID | I20070507000022 |
| Full Name | Michael R Williams |
| Organization Legal Name | KOSCIUSKO MEDICAL GROUP LLC |
| Address |
1205 Provident Dr A Warsaw IN 46580-3265 |
| Phone Number | 5742698383 |
| Gender | M |
| Credential | MD |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5496809956 |
| Number of Group Practice Members | 56 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150133 | KOSCIUSKO COMMUNITY HOSPITAL |
| 150021 | PARKVIEW REGIONAL MEDICAL CENTER |
| 150101 | PARKVIEW WHITLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1205 Provident Dr A, Warsaw, IN 46580-3265 | 5742698383 | KOSCIUSKO MEDICAL GROUP LLC |
| 1275 Provident Dr, Warsaw, IN 46580-3265 | 5742694026 | KOSCIUSKO MEDICAL GROUP LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 90% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 53% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 99% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 17% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 93% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 22% |
| Organization Legal Name | KOSCIUSKO MEDICAL GROUP LLC |
| Physicians | 51 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron Turner | Physical Therapy | Kosciusko Medical Group LLC | 1205 Provident Dr A, Warsaw, IN 46580-3265 |
| Sara Crooks | Nurse Practitioner | Kosciusko Medical Group LLC | 2235 Dubois Dr, Warsaw, IN 46580-3212 |
| Julie Ferland | Podiatry | Kosciusko Medical Group LLC | 3505 Lake City Hwy, Warsaw, IN 46580-3942 |
| Jacqueline Anders | Nurse Practitioner | Kosciusko Medical Group LLC | 614 N Main St, North Webster Medical Clinic, North Webster, IN 46555-9364 |
| Stephanie A Wells | Nurse Practitioner | Kosciusko Medical Group LLC | 107 W Pickwick Dr A, Syracuse, IN 46567-1832 |
| Patrick Bidiones Ilada | General Surgery | Kosciusko Medical Group LLC | 1000 Provident Dr, Suite C, Warsaw, IN 46580-3255 |
| Brian David Reichenbach | Family Medicine | Kosciusko Medical Group LLC | 2217 Dubois Dr, Warsaw, IN 46580-3212 |
| Daniel L Loney | Family Medicine | Kosciusko Medical Group LLC | 1205 Provident Dr A, Warsaw, IN 46580-3265 |
| Melissa Lee Jimenez | Nurse Practitioner | Kosciusko Medical Group LLC | 515 E Main St, Mentone Family Medicine, Mentone, IN 46539-9723 |
| Megan Fisher | Nurse Practitioner | Kosciusko Medical Group LLC | 2235 Dubois Dr, Warsaw, IN 46580-3212 |
| Street Address |
1205 PROVIDENT DR A |
| City | WARSAW |
| State | IN |
| Zip | 46580-3265 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron Turner | Physical Therapy | Kosciusko Medical Group LLC | 1205 Provident Dr A, Warsaw, IN 46580-3265 |
| Daniel L Loney | Family Medicine | Kosciusko Medical Group LLC | 1205 Provident Dr A, Warsaw, IN 46580-3265 |
| Kishan T Kishan | General Surgery | Kosciusko Medical Group LLC | 1205 Provident Dr A, Warsaw, IN 46580-3265 |
| Eric W Waldo | Internal Medicine | Kosciusko Medical Group LLC | 1205 Provident Dr A, Warsaw, IN 46580-3265 |
| James Harig | Gastroenterology | Kosciusko Medical Group LLC | 1205 Provident Dr A, Warsaw, IN 46580-3265 |
| Rex Alan Wieland | Family Medicine | Kosciusko Medical Group LLC | 1205 Provident Dr A, Warsaw, IN 46580-3265 |
| Dana L Coates | Internal Medicine | Kosciusko Medical Group LLC | 1205 Provident Dr A, Warsaw, IN 46580-3265 |
| David S Darr | Family Medicine | Kosciusko Medical Group LLC | 1205 Provident Dr A, Warsaw, IN 46580-3265 |
| Lori J Zimmerman | Family Medicine | Kosciusko Medical Group LLC | 1205 Provident Dr A, Warsaw, IN 46580-3265 |
| Corrine E Stokes | Certified Nurse Midwife (cnm) | Kosciusko Medical Group LLC | 1205 Provident Dr A, Warsaw, IN 46580-3265 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin D Day | Chiropractic | 118 W Market St, Warsaw, IN 46580-2812 | |
| Andrew S Yoder | Psychologist, Clinical | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Andrew Gerritt Smith | Psychiatry | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Richard E Ruhrold | Psychologist, Clinical | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Dawn Boughton | Clinical Social Worker | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Amber Joy Richards | Clinical Social Worker | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Kishore Sriram | Psychiatry | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Rhonda Irene Hall | Clinical Social Worker | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Kelly N Martinczak | Clinical Social Worker | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Julie A Moore | Clinical Social Worker | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Find all physicians in zip 46580 | |||
| City | WARSAW |
| Zip Code | 46580 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WARSAW + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michael R 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.