CHARLES A MCWILLIAMS (NPI# 1073570578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073570578 |
| Entity Type | Individual |
| Full Name | CHARLES A MCWILLIAMS |
| Credential | MD |
| Practice Address |
14101 N Eastern Ave Suite C Edmond OK 73013-5859 |
| Practice Telephone | 4053401279 |
| Practice Fax Number | 4053401605 |
| Mailing Telephone | 4053401279 |
| Mailing Fax Number | 4053401605 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2016-04-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 11817 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100110720A | 05 | |
| BC/BS | 202130641013 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295221166 | Charles Mcwilliams Jr. | Nurse Practitioner | 545 W Wheatland Rd, Duncanville, TX 75116-4515 | 2018-07-03 |
| 1548613334 | Charles Mcwilliams | Pharmacist | 3750 Bankhead Hwy, Suite 1, Lithia Springs, GA 30122-1800 | 2016-07-18 |
| Street Address |
14101 N EASTERN AVE SUITE C |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-5859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982029781 | Oklahoma Sleep Institute Clinic - Edmond | Durable Medical Equipment & Medical Supplies | 14101 N Eastern Ave, Suite D, Edmond, OK 73013-5859 | 2014-03-03 |
| 1639518038 | Creative Care Pharmacy, LLC | Pharmacy | 14101 N Eastern Ave, Suite A, Edmond, OK 73013-5859 | 2013-06-19 |
| 1306185087 | Traci Denise Bartley | Social Worker | 14101 N Eastern Ave, Edmond, OK 73013-5859 | 2013-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053581496 | Ashley B Bowen | Urology | 14101 N Eastern Ave Ste C, Edmond, OK 73013-5860 | 2008-02-29 |
| 1124147046 | Motoo Araki | Urology | 1919 E 2nd St Apt 271, Edmond, OK 73034-6227 | 2007-03-29 |
| 1679535470 | John P Ross | Urology | 14104 N. Eastern Ave. Ste. E, Edmond, OK 73013 | 2006-04-05 |
| 1962514455 | Laura Diane Stearman | Urology | 4833 Integris Pkwy, Suite 200, Edmond, OK 73034-8864 | 2006-08-31 |
| 1295746519 | Johnny B Roy | Urology | 105 S Bryant Ave, #110, Edmond, OK 73034-6399 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194338426 | Davis Urology, Pllc | Urology | 13509 N Meridian Ave Ste 6, Oklahoma City, OK 73120-8396 | 2020-08-26 |
| 1073146304 | Roy W Bankhead Md PC | Urology | 5700 N Portland Ave Ste 100, Oklahoma City, OK 73112-1662 | 2020-02-14 |
| 1851877567 | Richard E. Herlihy Md, PC | Urology | 4140 W Memorial Rd Ste 611, Oklahoma City, OK 73120-8300 | 2018-07-16 |
| 1306383849 | Urology Affiliates of Oklahoma LLC | Urology | 5300 N Grand Blvd Ste 200, Oklahoma City, OK 73112-5517 | 2017-01-23 |
| 1285015057 | Caitlin Shepherd | Urology | 722 Nw 28th St, Oklahoma City, OK 73103-1009 | 2015-06-17 |
| 1295174969 | Joseph Fernando Rodriguez IIi | Urology | 920 Stanton L Young Blvd # Wp3150, Oklahoma City, OK 73104-5036 | 2013-06-17 |
| 1003159773 | Philip D. Diggdon Sr. | Urology | 3424 E. 65 St, Tulsa, OK 74136 | 2013-04-01 |
| 1811247885 | Melanie Nyeh Ketchandji | Urology | 1145 South Utica Avenue, Suite 202, Tulsa, OK 74104-4022 | 2012-09-17 |
| 1992055990 | Kathryn Griffin Cunningham | Urology | 4140 W Memorial Rd Ste 208, Oklahoma City, OK 73120 | 2012-09-17 |
| 1477847374 | Bhalaajee Meenakshi-sundaram | Urology | 1200 Childrens Ave # 7d, Oklahoma City, OK 73104 | 2011-06-08 |
| Find all providers with the same taxonomy | ||||
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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.