TRAVIS G WILLIAMS (NPI# 1043461817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043461817 |
| Entity Type | Individual |
| Full Name | TRAVIS G WILLIAMS |
| Credential | DO |
| Practice Address |
520 S Eagle Rd Meridian ID 83642-6351 |
| Mailing Address |
190 E Bannock St Boise ID 83712-6241 |
| Practice Telephone | 2087065651 |
| Mailing Telephone | 2083812222 |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2016-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
O-0785 | ID | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
0535122 | KS | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
O-0785 | ID | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | TL2972 | CO | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1043461817 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972967453 | Travis Alexander Williams | Student in an Organized Health Care Education/Training Program | 625 13th Ave Ne, St Petersburg, FL 33701-1310 | 2016-04-11 |
| 1669844585 | Travis Williams | Counselor | 8525 Chalmette Dr, Shreveport, LA 71115-2700 | 2015-10-30 |
| 1336518554 | Travis Edward Williams | Counselor | 4801 Glenwood Ave., Suite 200, Raleigh, NC 27612 | 2015-09-17 |
| 1417337387 | Travis J. Williams | Physical Medicine & Rehabilitation | 3551 E. Overland Rd., Meridan, ID 83642 | 2015-06-04 |
| 1437582814 | Travis Arthur Williams | Specialist/Technologist | 620 Waymarket Dr, Ann Arbor, MI 48103 | 2013-08-20 |
| 1538219886 | Travis Williams | Chiropractor | 13 Tanner St, Haddonfield, NJ 08033-2470 | 2007-01-11 |
| 1245850387 | Travis Whitt Williams | Student in an Organized Health Care Education/Training Program | 2698 Patterson Rd Ste 100, Grand Junction, CO 81506-8211 | 2020-04-18 |
| 1487147294 | Travis J Williams | Behavior Technician | 3601 Coliseum St Fl 6, New Orleans, LA 70115-3606 | 2018-06-07 |
| 1215464011 | Travis Williams | Counselor | 2447 Nebraska Ave, Toledo, OH 43607-3531 | 2017-05-11 |
| 1912443847 | Travis James Williams | Nurse Practitioner | 240 W Burnside Ave, Chubbuck, ID 83202-4702 | 2017-01-17 |
| Street Address |
520 S EAGLE RD |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-6351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356348015 | Robert E. Holland Jr. | Family Medicine | 520 S Eagle Rd, Ste 1241, Meridian, ID 83642-6351 | 2005-07-07 |
| 1659984284 | Heather R Zimmerman | Occupational Therapist | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-08-24 |
| 1619587573 | Maria Herbison | Pharmacist | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-08-05 |
| 1952927543 | Grayson T Kendall | Pharmacist | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-06-19 |
| 1891310371 | David Joseph Matthews | Respiratory Therapist, Registered | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-06-10 |
| 1356960603 | Rebecca Finder | Pharmacist | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-04-15 |
| 1982231023 | Stephen Blake Miltner | Physical Therapist | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-03-26 |
| 1093342834 | Clayton Hawks | Nurse Practitioner | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-03-23 |
| 1912547647 | Emily Tyler Getlein Marques | Nurse Practitioner | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-01-10 |
| 1184264244 | Jordan Leach | Pharmacist | 520 S Eagle Rd, Meridian, ID 83642 | 2020-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376567487 | Teresa Gray Hayes | Internal Medicine | 700 W Ironwood Dr Ste 130, Coeur D Alene, ID 83814-4404 | 2006-07-26 |
| 1215981832 | Gerardo Midence | Internal Medicine | 1250 Idaho Street, Lewiston, ID 83501 | 2006-05-19 |
| 1821355330 | Jessica Thibault | Internal Medicine | 725 Pole Line Rd W, Twin Falls, ID 83301 | 2012-04-20 |
| 1417214420 | Nathanael David Gay | Internal Medicine | 1440 E Mullan Ave, Post Falls, ID 83854 | 2012-04-15 |
| 1629095179 | St Alphonsus Professional Medical Services LLC | Internal Medicine | 1055 N Curtis Rd, Boise, ID 83706-1309 | 2006-07-17 |
| 1265478325 | Karl Josef Schultheiss | Internal Medicine | 1055 N Curtis Rd, Boise, ID 83706 | 2006-06-20 |
| 1093753360 | Michael Rooney | Internal Medicine | 415 6th St, Lewiston, ID 83501-2431 | 2006-06-02 |
| 1083668248 | Sushma Pant | Internal Medicine | 1250 Idaho Street, Lewiston, ID 83501 | 2006-05-20 |
| 1821042029 | Katrina A Rolen | Internal Medicine | 1250 Idaho Street, Lewiston, ID 83501 | 2006-05-20 |
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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.