Carson Tyler Williams (NPI# 1477998284, PAC ID# 5597029884) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1477998284 |
| PAC ID by PECOS | 5597029884 |
| Professional Enrollment ID | I20190625002949 |
| Full Name | Carson Tyler Williams |
| Organization Legal Name | HEAD AND NECK SURGERY OF KANSAS CITY P A |
| Address |
913 Sheidley Ave Bonner Springs KS 66012-9514 |
| Phone Number | 9135994800 |
| Gender | M |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 7911032131 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170182 | MENORAH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 913 Sheidley Ave, Bonner Springs, KS 66012-9514 | 9135994800 | HEAD AND NECK SURGERY OF KANSAS CITY P A |
| 7201 E 147th St, Suite 120, Grandview, MO 64030-4204 | 9135994800 | HEAD AND NECK SURGERY OF KANSAS CITY P A |
| 5370 College Blvd, Suite 100, Overland Park, KS 66211-1891 | 9135994800 | HEAD AND NECK SURGERY OF KANSAS CITY P A |
| Organization Legal Name | HEAD AND NECK SURGERY OF KANSAS CITY P A |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul H Carter | Qualified Audiologist | Head and Neck Surgery of Kansas City P A | 5370 College Blvd, Suite 100, Overland Park, KS 66211-1891 |
| Mark S Walton | Otolaryngology | Head and Neck Surgery of Kansas City P A | 1000 Carondelet Dr, Kansas City, MO 64114-4673 |
| Lloyd Denton Waggener | Qualified Audiologist | Head and Neck Surgery of Kansas City P A | 7201 E 147th St, Suite 120, Grandview, MO 64030-4204 |
| Kristy M Kurtz | Qualified Audiologist | Head and Neck Surgery of Kansas City P A | 7201 E 147th St, Suite 120, Grandview, MO 64030-4204 |
| Robert F Thompson Jr. | Otolaryngology | Head and Neck Surgery of Kansas City P A | 5370 College Blvd, Suite 100, Overland Park, KS 66211-1891 |
| Mitchell Challis | Otolaryngology | Head and Neck Surgery of Kansas City P A | 5370 College Blvd, Suite 100, Overland Park, KS 66211-1891 |
| Steven F Ellis | Otolaryngology | Head and Neck Surgery of Kansas City P A | 5370 College Blvd, Suite 100, Overland Park, KS 66211-1891 |
| Street Address |
913 SHEIDLEY AVE |
| City | BONNER SPRINGS |
| State | KS |
| Zip | 66012-9514 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen P Thies | Family Medicine | Prime Healthcare Physician Services Providence Inc | 913 Sheidley Ave, Bonner Springs, KS 66012-9514 |
| Sandra Suderman | Nurse Practitioner | Prime Healthcare Physician Services Providence Inc | 913 Sheidley Ave, Bonner Springs, KS 66012-9514 |
| Ann E Kurtz | Family Practice | Prime Healthcare Physician Services Providence Inc | 913 Sheidley Ave, Bonner Springs, KS 66012-9514 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Lee Anderson | Optometry | Smithville Eye Center LLC | 116 Cedar Ave, Bonner Springs, KS 66012-1016 |
| Matthew David Callewaert | Optometry | Smithville Eye Center LLC | 116 Cedar Ave, Bonner Springs, KS 66012-1016 |
| Gregory Karl Gomer | Chiropractic | 216 E 2nd St, Bonner Springs, KS 66012-1061 | |
| Gary K Forshee | Chiropractic | 16176 Evans Rd, Basehor, KS 66012-7182 | |
| Michael J Teeple | Chiropractic | Teeple Chiropractic Clinic, Inc. | 15604 Pinehurst Dr, 3a, Bonner Springs, KS 66012-8234 |
| Nathan Edward Church | Physical Therapy | Serc Rehabilitation Partners LLC | 13035 Kansas Ave, Bonner Springs, KS 66012-9206 |
| Kyle Kelly | Optometry | Family Eyecare Center of Bonner Springs LLC | 13047 Kansas Ave, Bonner Springs, KS 66012-9206 |
| Matthew A Siemer | Optometry | Family Eyecare Center of Bonner Springs LLC | 13047 Kansas Ave, Bonner Springs, KS 66012-9206 |
| Jacqueline L Puno | Physical Therapy | Serc Rehabilitation Partners LLC | 13035 Kansas Ave, Bonner Springs, KS 66012-9206 |
| Ashley E Reddell | Optometry | Family Eyecare Center of Bonner Springs LLC | 13047 Kansas Ave, Bonner Springs, KS 66012-9206 |
| Find all physicians in zip 66012 | |||
| City | BONNER SPRINGS |
| Zip Code | 66012 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | BONNER SPRINGS + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Carson Tyler 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.