DR. MICHAEL C WILLIAMS (NPI# 1023066776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023066776 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL C WILLIAMS |
| Credential | MD |
| Practice Address |
1000 Mar Walt Dr Fort Walton Beach FL 32547-6708 |
| Mailing Address |
Po Box 88452 Chicago IL 60680-1452 |
| Practice Telephone | 8508637607 |
| Practice Fax Number | 2054375998 |
| Mailing Telephone | 2054376098 |
| Mailing Fax Number | 2054375998 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2009-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | ME85517 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 265505500 | 05 | |
| AL | BCBS PROVIDER NUMBER | 059190007 | 01 |
| FL | BCBS PROVIDER NUMBER | 62835 | 01 |
| AL | BCBS PROVIDER NUMBER | 059189774 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265056006 | Michael Andrew Williams | Physical Therapist | 11165 Caminito Vista Serena, San Diego, CA 92131-3304 | 2020-06-07 |
| 1629691159 | Michael Leon Williams | Psychologist | 2901 Troost Ave # 64109, Kansas City, MO 64109-1538 | 2020-05-19 |
| 1093345241 | Michael R. Williams | Social Worker | 304 Laurel Rise Ln, Columbia, SC 29229-7403 | 2020-01-16 |
| 1437796836 | Michael Ray Williams | Psychologist | 3319 N University Ave Ste 100, Provo, UT 84604-4447 | 2019-12-04 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1992231633 | Michael Williams | Contractor | 8590 Production Ave, Suite B, San Diego, CA 92121-2281 | 2017-05-01 |
| 1043750227 | Michael Xavier Williams | Student in an Organized Health Care Education/Training Program | 848 Keystone Way, Newport, PA 17074 | 2017-03-07 |
| 1215489893 | Michael T. Williams Jr. | Private Vehicle | 8 Milliner St, Rochester, NY 14611-1112 | 2016-10-28 |
| 1326407115 | Michael Williams | Chore Provider | 20452 Sunbright Ln, Germantown, MD 20874-1088 | 2016-02-22 |
| 1013382670 | Michael V Williams Jr. | Counselor | 3110 Clay St, Columbus, GA 31903-1926 | 2015-12-08 |
| Street Address |
1000 MAR WALT DR |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32547-6708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699779389 | Hien Dao | Emergency Medicine | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2005-06-09 |
| 1619578663 | Noles Medical Services Inc | Clinic/Center | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2020-11-05 |
| 1629686878 | Eric Daniel Hinojosa | Nurse Practitioner | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2020-07-14 |
| 1548889215 | Jennifer D Grady | Nurse Practitioner | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2020-04-13 |
| 1578194247 | Laura Pavel Ketelsen | Nurse Anesthetist, Certified Registered | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2020-01-30 |
| 1508422106 | Jamie Marie Herndon | Registered Nurse | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2019-05-20 |
| 1801354477 | Victoria Ann Miles-nance | Nurse Anesthetist, Certified Registered | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2019-03-03 |
| 1447723457 | Jolyn Marie Pelesky | Nurse Anesthetist, Certified Registered | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2019-01-03 |
| 1346718442 | Hannah Beth Webster | Nurse Practitioner | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2018-11-06 |
| 1104301332 | Nicholas Joseph Dokianos | Internal Medicine | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2018-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255944955 | Theresa Ann Morvay | Behavior Technician | 419 Racetrack Rd Ne, Fort Walton Beach, FL 32547 | 2020-08-24 |
| 1588295422 | Emily Ann Glossop | Nurse Practitioner | 930 Mar Walt Drive C, Fort Walton Beach, FL 32547 | 2020-01-29 |
| 1225669443 | Elizabeth Rogers Nagengast | Physician Assistant | 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 | 2020-01-27 |
| 1497254791 | Carmen Alston | Nurse Practitioner | 930 Mar Walt Dr C, Fort Walton Beach, FL 32547 | 2018-02-02 |
| 1871004960 | Center for Neuropsychological Services Cns | Clinical Neuropsychologist | 1817 Lewis Turner Blvd, Fort Walton Beach, FL 32547 | 2017-10-17 |
| 1194235648 | Robin Wray | Speech-Language Pathologist | 930 Mar Walt Dr D, Fort Walton Beach, FL 32547 | 2017-10-10 |
| 1285007989 | Dynamic Pain & Wellness Pllc | Pain Medicine | 930 Marwalt Drive, Suite B and C, Fort Walton Beach, FL 32547 | 2015-11-04 |
| 1013392810 | Terry Abbott | Social Worker | 648 Overbrook Dr, Fort Walton Beach, FL 32547 | 2015-07-22 |
| 1083024673 | Emily Lohr | Physical Therapy Assistant | 2000 Principle Ln, Ft. Walton Beach, FL 32547 | 2014-05-05 |
| 1831526102 | Laurie Ann Schweppe | Nurse Practitioner | 1005 Mar Walt Drivve, Snf Hospitalist Department, Fort Walton Beach, FL 32547 | 2013-10-02 |
| Find all providers in zip 32547 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710114848 | Rebecca A Horst | Emergency Medicine | 1100 Mar Walt Dr, Fort Walton Beach Med Center, Fort Walton Beach, FL 32547-1302 | 2009-06-16 |
| 1487646725 | Sally A. Cooper | Emergency Medicine | 221 Hospital Dr Ne, Fort Walton Beach, FL 32548-5066 | 2005-08-22 |
| 1912902982 | Gustavo F Ros | Emergency Medicine | 914 Mar Walt Dr, Ste C, Fort Walton Beach, FL 32547 | 2005-06-16 |
| 1699779389 | Hien Dao | Emergency Medicine | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2005-06-09 |
| 1639626187 | Thomasville Emergency Physicians LLC | Emergency Medicine | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2016-09-01 |
| 1457760142 | Blue Job Emergency Physicians LLC | Emergency Medicine | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2014-08-06 |
| 1972845238 | Stephanie Owen | Emergency Medicine | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2013-03-25 |
| 1831461433 | Jacksonville Emergency Consultants | Emergency Medicine | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2012-01-30 |
| 1164711206 | Emergency Providers Group LLC | Emergency Medicine | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2011-03-29 |
| 1891935961 | Steven Lee Nodine | Emergency Medicine | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2009-03-02 |
| Find all providers in FORT WALTON BEACH | ||||
| City | FORT WALTON BEACH |
| Zip Code | 32547 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.