David Dale Williams (NPI# 1164490538, PAC ID# 8527012913) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1164490538 |
| PAC ID by PECOS | 8527012913 |
| Professional Enrollment ID | I20050309000215 |
| Full Name | David Dale Williams |
| Organization Legal Name | SOUTHSIDE FAMILY MEDICAL GROUP LLC |
| Address |
5955 S Emerson Ave Suite 100 Indianapolis IN 46237-2574 |
| Phone Number | 3174528400 |
| Gender | M |
| Credential | MD |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2567431869 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150162 | FRANCISCAN HEALTH INDIANAPOLIS |
| 150010 | ST. JOSEPH HOSPITAL & HEALTH CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 5955 S Emerson Ave, Suite 100, Indianapolis, IN 46237-2574 | 3174528400 | SOUTHSIDE FAMILY MEDICAL GROUP LLC |
| Organization Legal Name | SOUTHSIDE FAMILY MEDICAL GROUP LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rhonda Wilson Goul | Family Medicine | Southside Family Medical Group LLC | 5955 S Emerson Ave, Suite 100, Indianapolis, IN 46237-2574 |
| Cynthia S Williams | Internal Medicine | Southside Family Medical Group LLC | 5955 S Emerson Ave, Suite 100, Indianapolis, IN 46237-2574 |
| Brian C Ruley | Family Medicine | Southside Family Medical Group LLC | 5955 S Emerson Ave, Suite 100, Indianapolis, IN 46237-2574 |
| Street Address |
5955 S EMERSON AVE SUITE 100 |
| City | INDIANAPOLIS |
| State | IN |
| Zip | 46237-2574 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rhonda Wilson Goul | Family Medicine | Southside Family Medical Group LLC | 5955 S Emerson Ave, Suite 100, Indianapolis, IN 46237-2574 |
| Cynthia S Williams | Internal Medicine | Southside Family Medical Group LLC | 5955 S Emerson Ave, Suite 100, Indianapolis, IN 46237-2574 |
| Brian C Ruley | Family Medicine | Southside Family Medical Group LLC | 5955 S Emerson Ave, Suite 100, Indianapolis, IN 46237-2574 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen W Kimmell | Optometry | Midwest Eye Consultants PC | 5319 S Emerson Ave, Cataract and Later Institute Indianapolis, Indianapolis, IN 46237-1969 |
| Carmanny Dinkins | Nurse Practitioner | Little Clinic of In LLC | 5350 E Thompson Rd, Indianapolis, IN 46237-2059 |
| Brent Edward Mezger | Nurse Practitioner | Little Clinic of In LLC | 5350 E Thompson Rd, Indianapolis, IN 46237-2059 |
| Jennifer M Stewart | Nurse Practitioner | Little Clinic of In LLC | 5350 E Thompson Rd, Indianapolis, IN 46237-2059 |
| Jill Irene Sherman | Nurse Practitioner | Little Clinic of In LLC | 5350 E Thompson Rd, Indianapolis, IN 46237-2059 |
| Christa R Snyder | Nurse Practitioner | Little Clinic of In LLC | 5350 E Thompson Rd, Indianapolis, IN 46237-2059 |
| Mary A Cooper | Family Medicine | Franciscan Physician Network | 5210 E Thompson Rd, Indianapolis, IN 46237-2085 |
| Gary D Thompson | Family Medicine | Franciscan Physician Network | 5210 E Thompson Rd, Indianapolis, IN 46237-2085 |
| John R Alessi | Family Practice | Franciscan Physician Network | 5210 E Thompson Rd, Indianapolis, IN 46237-2085 |
| Richard A Stanley | Podiatry | 5905 S Emerson Ave, Suite 300, Indianapolis, IN 46237-2406 | |
| Find all physicians in zip 46237 | |||
| City | INDIANAPOLIS |
| Zip Code | 46237 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | INDIANAPOLIS + FAMILY MEDICINE |
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| 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.