GARY DEAN WILLIAMS (NPI# 1093747297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093747297 |
| Entity Type | Individual |
| Full Name | GARY DEAN WILLIAMS |
| Credential | MD |
| Practice Address |
2520 Bert Kouns Industrial Loop Suite 202 Shreveport LA 71118-3130 |
| Practice Telephone | 3182125040 |
| Practice Fax Number | 3182125045 |
| Mailing Telephone | 3182125040 |
| Mailing Fax Number | 3182125045 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-12-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 06590R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1339482 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114269008 | Gary M Williams | Pathology | 8 Elm Rd, Scarsdale, NY 10583-1410 | 2013-03-19 |
| 1598059388 | Gary Williams | Durable Medical Equipment & Medical Supplies | 208 Brittney Ln, Hinesville, GA 31313-5724 | 2011-06-08 |
| 1770761504 | Gary Williams | Counselor | 209 Ne Diana Ter, Lake City, FL 32055-4633 | 2008-02-04 |
| 1477679595 | Gary Alan Williams | Counselor | 1034 23rd St S, Suite 102, Birmingham, AL 35205-2481 | 2007-03-21 |
| 1962532663 | Gary J Williams | Family Medicine | Route 28, Hyannis, MA 02601 | 2007-03-06 |
| 1598827412 | Gary Vincent Williams Jr. | Dentist | 8538 E Cactus Wren Cir, Scottsdale, AZ 85262-1334 | 2006-12-15 |
| 1447323316 | Gary Adair Williams | Psychologist | 502 Johnstown Rd, Beckley, WV 25801 | 2006-11-16 |
| 1033211263 | Gary O Williams | Optometrist | 5353 Soutel Dr, Ste B, Jacksonville, FL 32219-3492 | 2006-09-01 |
| 1760591440 | Gary Richard Williams | Dentist | 16125 Cairnway, Suite 102, Houston, TX 77084 | 2006-08-29 |
| 1346296043 | Gary Lester Williams | Optometrist | 1124 Kemper Meadow Dr, Cincinnati, OH 45240-4117 | 2006-05-25 |
| Street Address |
2520 BERT KOUNS INDUSTRIAL LOOP SUITE 202 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71118-3130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770510273 | James W. Thompson Md and Willis-knighton Medical Center | Family Medicine | 2520 Bert Kouns Industrial Loop, Suite 102, Shreveport, LA 71118-3130 | 2006-06-28 |
| 1598137374 | Jamiee Brice | Nurse Practitioner | 2520 Bert Kouns Industrial Loop, Suite 105, Shreveport, LA 71118-3130 | 2015-10-20 |
| 1336516533 | Holly Rivers | Nurse Practitioner | 2520 Bert Kouns Industrial Loop, Suite 105, Shreveport, LA 71118-3130 | 2015-08-24 |
| 1639545692 | Angela Moyer | Nurse Practitioner | 2520 Bert Kouns Industrial Loop, Suite 105, Shreveport, LA 71118-3130 | 2015-08-13 |
| 1891083457 | Wk Urgent Care Center-south | Family Medicine | 2520 Bert Kouns Industrial Loop, Suite 105, Shreveport, LA 71118-3130 | 2011-07-18 |
| 1467555805 | Harold W King Dds Apdc | Dentist | 2520 Bert Kouns Industrial Loop, Ste 104, Shreveport, LA 71118 | 2006-09-07 |
| 1962512673 | Ravindra Howard Goel | Family Medicine | 2520 Bert Kouns Industrial Loop, Suite 105b, Shreveport, LA 71118-3130 | 2006-08-30 |
| 1184658635 | Thanh Dai Vo | Family Medicine | 2520 Bert Kouns Industrial Loop, Suite 105, Shreveport, LA 71118-3130 | 2006-07-10 |
| 1598796583 | Gary Williams Md and Willis-knighton Medical Center | Internal Medicine | 2520 Bert Kouns Industrial Loop, Suite 202, Shreveport, LA 71118-3130 | 2006-07-06 |
| 1164453858 | James Wainwright Thompson | Family Medicine | 2520 Bert Kouns Industrial Loop, Suite 102, Shreveport, LA 71118-3130 | 2006-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620784 | Wk Center for Pediatric Gastroenterology | Pediatrics | Wk Center for Pediatric Gastroenterology, 2530 Bert Kouns Industrial Loop, Ste 113, Shreveport, LA 71118 | 2019-10-11 |
| 1306302443 | Diamond Marie Willis | Case Manager/Care Coordinator | 9403 Mansfield Rd., Shreveport, LA 71118 | 2019-02-13 |
| 1194224469 | Latosa Hall | Case Manager/Care Coordinator | 9007 Letha Loop, Shreveport, LA 71118 | 2018-02-01 |
| 1902321623 | Bersheika Lashay Player | Counselor | 9403 Mansfield Road, Shreveport, LA 71118 | 2017-08-03 |
| 1518487149 | Clarke Jackson | Case Manager/Care Coordinator | 9730 Baird Rd Apt 2310, Shreveport, LA 71118 | 2017-06-24 |
| 1770010449 | Darrie'l Smith | Counselor | 2715 Mackey, Shreveport, LA 71118 | 2017-05-12 |
| 1760917041 | Delilah Wells | Case Manager/Care Coordinator | 9005 Walker Rd Apt 722, Shreveport, LA 71118 | 2017-04-25 |
| 1790229664 | We Care Transporttion Services LLC | Secured Medical Transport (VAN) | 2529 Summer Grove Dr, Shreveport, LA 71118 | 2016-12-13 |
| 1063955128 | Commanisha Smith | Social Worker | 2715 Mackey Place, Shreveport, LA 71118 | 2016-11-22 |
| 1023560802 | Yasmin Newman | Counselor | 9812 West Trails End, Shreveport, LA 71118 | 2016-10-27 |
| Find all providers in zip 71118 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790315026 | Cody Tingle Md LLC | Internal Medicine | 535 Pierremont Rd, Shreveport, LA 71106-2207 | 2020-01-26 |
| 1538654306 | Masri Group LLC | Internal Medicine | 3801 Creswell Ave Unit 19, Shreveport, LA 71106-1257 | 2018-06-25 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1760923064 | Martin Marak | Internal Medicine | 847 Prospect St, Shreveport, LA 71104-3025 | 2017-03-20 |
| 1265883482 | Vari LLC | Internal Medicine | 506 Rock Hollow Dr, Shreveport, LA 71115-2502 | 2016-06-29 |
| 1598140121 | Mihir V Patel Md LLC | Internal Medicine | 9930 Loveland Ct, Shreveport, LA 71106-7795 | 2015-07-24 |
| 1619357209 | Chad Michael Gibson | Internal Medicine | 8001 Youree Dr Ste 4007, Shreveport, LA 71115-2302 | 2015-06-09 |
| 1265829394 | Amanda Lynn Callegan-poche' | Internal Medicine | 1023 Provenance Pl Ste 130, Shreveport, LA 71106-7796 | 2015-04-15 |
| 1699017681 | Deanna Elise Mossallati | Internal Medicine | 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 | 2013-03-18 |
| 1477807980 | Ronald Baylis George | Internal Medicine | 1821 Willow Point Drive, Shreveport, LA 71119 | 2012-11-06 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71118 |
Please comment or provide details below to improve the information on GARY DEAN WILLIAMS.
| 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.