Tara Williams (NPI# 1417192543, PAC ID# 8426025412) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1417192543 |
| PAC ID by PECOS | 8426025412 |
| Professional Enrollment ID | I20120906000432 |
| Full Name | Tara Williams |
| Organization Legal Name | RIVERSIDE MEDICAL CLINIC INC |
| Address |
20886 Riverside Dr Grundy VA 24614-9597 |
| Phone Number | 2769357515 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4789902354 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490127 | BUCHANAN GENERAL HOSPITAL |
| 490060 | CLINCH VALLEY MEDICAL CENTER |
| 180044 | PIKEVILLE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 20886 Riverside Dr, Grundy, VA 24614-9597 | 2769357515 | RIVERSIDE MEDICAL CLINIC INC |
| Organization Legal Name | RIVERSIDE MEDICAL CLINIC INC |
| Physicians | 186 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sang Yim | Hospitalist | Riverside Medical Clinic Inc | 6405 Day St, Riverside, CA 92507-0901 |
| Mara R Archambault | Internal Medicine | Riverside Medical Clinic Inc | 12742 Limonite Ave, Eastvale, CA 92880-9630 |
| Tracy S Leong | Dermatology | Riverside Medical Clinic Inc | 7160 Brockton Ave, 2nd Floor, Riverside, CA 92506-2614 |
| Massimo Arcerito | General Surgery | Riverside Medical Clinic Inc | 19314 Jesse Ln, Suite 150, Riverside, CA 92508-5074 |
| Adriemme Burn | Nurse Practitioner | Riverside Medical Clinic Inc | 6250 Clay St, Riverside, CA 92509-6005 |
| Steven Larson | Internal Medicine | Riverside Medical Clinic Inc | 3510 Adams St, Riverside, CA 92504-3356 |
| Miriam C Cho | Geriatric Medicine | Riverside Medical Clinic Inc | 7117 Brockton Ave, Riverside, CA 92506-2615 |
| Joshua P Sutherland Jr. | Family Medicine | Riverside Medical Clinic Inc | 20886 Riverside Dr, Grundy, VA 24614-9597 |
| Melissa R Christiansen | Nurse Practitioner | Riverside Medical Clinic Inc | 33040 Antelope Rd, Murrieta, CA 92563-2439 |
| Mohammad K Shahin | Internal Medicine | Riverside Medical Clinic Inc | 830 Magnolia Ave, Corona, CA 92879-3128 |
| Street Address |
20886 RIVERSIDE DR |
| City | GRUNDY |
| State | VA |
| Zip | 24614-9597 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua P Sutherland Jr. | Family Medicine | Riverside Medical Clinic Inc | 20886 Riverside Dr, Grundy, VA 24614-9597 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tammy Lee Hurley | Nurse Practitioner | Post Acute Consultants of Virginia PC | 2966 Slate Crek Rd, Grundy, VA 24614 |
| Pamala D Mize | Audiologist | Zaven Jabourian,m.d.,p.c. | Rt 83 Slate Creek Rd, Suite 208, Grundy, VA 24614 |
| Wilma Deel | Nurse Practitioner | Post Acute Consultants of Virginia PC | 2966 Slate Crek Rd, Grundy, VA 24614 |
| Amanda Joy Umlandt | Optometry | 1193 Plaza Dr, Grundy, VA 24614-6780 | |
| Judy C Street | Nurse Practitioner | Family Care Center of Buchanan County LLC | 1109 Plaza Dr, Grundy, VA 24614-6780 |
| Mary Ann Collins | Nurse Practitioner | Family Care Center of Buchanan County LLC | 1109 Plaza Dr, Grundy, VA 24614-6780 |
| Adam C Stiltner | Nurse Practitioner | Family Care Center of Buchanan County LLC | 1109 Plaza Dr, Grundy, VA 24614-6780 |
| Anthony J Cichocki | Certified Registered Nurse Anesthetist (crna) | 1535 Slate Creek Rd, Grundy, VA 24614-6974 | |
| Philip Wayne Oliver | Emergency Medicine | United Emergency Services Inc. | 1535 Slate Creek Rd, Grundy, VA 24614-6974 |
| John E Strange | Emergency Medicine | United Emergency Services Inc. | 1535 Slate Creek Rd, Grundy, VA 24614-6974 |
| Find all physicians in zip 24614 | |||
| City | GRUNDY |
| Zip Code | 24614 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GRUNDY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tara 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.