Shelly L Williams (NPI# 1205859956, PAC ID# 8022086420) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1205859956 |
| PAC ID by PECOS | 8022086420 |
| Professional Enrollment ID | I20041028000451 |
| Full Name | Shelly L Williams |
| Address |
318 Ctr St Suite 7 Muskegon MI 49445-3113 |
| Gender | F |
| Credential | DO |
| Medical School | UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduation Year | 1985 |
| Primary Specialty | FAMILY PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230066 | MERCY HEALTH HACKLEY CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 318 Ctr St, Suite 7, Muskegon, MI 49445-3113 |
| Street Address |
318 CTR ST SUITE 7 |
| City | MUSKEGON |
| State | MI |
| Zip | 49445-3113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael C Tomaszczyk | General Surgery | 1745 Holton Rd, Suite C, Muskegon, MI 49445-1453 | |
| Eliza R Sudbury | Nurse Practitioner | Mercy Physician Network | 1915 Holton Rd, N Muskegon, MI 49445-1533 |
| Elizabeth Lynne Cross | Nurse Practitioner | Mercy Physician Network | 1915 Holton Rd, N Muskegon, MI 49445-1533 |
| David G Booth | Family Practice | Mercy Physician Network | 1915 Holton Rd, Muskegon, MI 49445-1533 |
| James P Twesten Otoole | Family Practice | Mercy Physician Network | 1915 Holton Rd, Muskegon, MI 49445-1533 |
| George S Renton | Internal Medicine | Mercy Physician Network | 1915 Holton Rd, Muskegon, MI 49445-1533 |
| Deborah Ann Posthumus | Physician Assistant | Mercy Physician Network | 1915 Holton Rd, Muskegon, MI 49445-1533 |
| Nancy F Brenneman | Internal Medicine | Mercy Physician Network | 1915 Holton Rd, Muskegon, MI 49445-1533 |
| Nicholas A Vandenbosch | Family Practice | Mercy Physician Network | 1915 Holton Rd, Muskegon, MI 49445-1533 |
| Wayne L Brenneman | Internal Medicine | Mercy Physician Network | 1915 Holton Rd, Muskegon, MI 49445-1533 |
| Find all physicians in zip 49445 | |||
| City | MUSKEGON |
| Zip Code | 49445 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | MUSKEGON + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Shelly L 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.