DR. THEODORE J WILLIAMS (NPI# 1114914546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114914546 |
| Entity Type | Individual |
| Full Name | DR. THEODORE J WILLIAMS |
| Credential | M.D. |
| Practice Address |
15101 Glenwood Ave Stanley KS 66223-3154 |
| Mailing Address |
Po Box 741331 Atlanta GA 30374-1331 |
| Practice Telephone | 9136818866 |
| Practice Fax Number | 9133381311 |
| Mailing Telephone | 9134690503 |
| Mailing Fax Number | 9134695267 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2012-12-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0422094 | KS | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629692801 | Theodore Williams Iv | Case Manager/Care Coordinator | 7271 Engle Rd Ste 207, Cleveland, OH 44130-8404 | 2020-06-03 |
| 1659328631 | Theodore G Williams | Psychiatry & Neurology | 1300 Bristol St N, Suite 175, Newport Beach, CA 92660-2951 | 2006-05-27 |
| 1487182119 | Theodore Williams IIi | Clinical Neuropsychologist | 744 Colorado Ave, Stuart, FL 34994-3005 | 2017-05-25 |
| 1457519373 | Theodore L Williams | Counselor | 628 Circle Dr, Aberdeen, SD 57401-2615 | 2008-05-28 |
| 1568555043 | Theodore Williams | Psychologist | 2 Easton Oval, Ste 450, Columbus, OH 43219-6035 | 2006-10-02 |
| 1063486884 | Theodore Glenn Williams | Orthopaedic Surgery | 619 Pointe North Blvd, Albany, GA 31721-1514 | 2006-02-16 |
| Street Address |
15101 GLENWOOD AVE |
| City | STANLEY |
| State | KS |
| Zip Code | 66223-3154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770577629 | Mitzi M Groves | Family Medicine | 15101 Glenwood Ave, Stanley, KS 66223-3154 | 2005-09-07 |
| 1134741044 | Kylie Gafford | Physician Assistant | 15101 Glenwood Ave, Stanley, KS 66223-3154 | 2020-05-13 |
| 1891175527 | Jenna Beth Kawase Eshcol | Family Medicine | 15101 Glenwood Ave, Stanley, KS 66223-3154 | 2015-06-08 |
| 1477955755 | Jessica Blake | Registered Nurse | 15101 Glenwood Ave, Stanley, KS 66223 | 2014-09-18 |
| 1780952127 | Brooke Nicole Mcguire | Registered Nurse | 15101 Glenwood Ave, Stanley, KS 66223-3154 | 2011-12-13 |
| 1245470152 | Anna Newby | Dietitian, Registered | 15101 Glenwood Ave, Stanley, KS 66223-3154 | 2009-03-05 |
| 1437399342 | Amy J Kapple | Dietitian, Registered | 15101 Glenwood Ave, Stanley, KS 66223-3154 | 2009-03-05 |
| 1710127626 | Mary E Willis | Dietitian, Registered | 15101 Glenwood Ave, Stanley, KS 66223-3154 | 2009-03-05 |
| 1437314838 | Overland Park Surgical Specialties, LLC | Family Medicine | 15101 Glenwood Ave, Stanley, KS 66223-3154 | 2008-07-24 |
| 1568506889 | Labone Inc | Clinical Medical Laboratory | 15101 Glenwood Ave, Stanley, KS 66223-3154 | 2007-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205313566 | Midwest Orthopedic Network Kansas | Neuromusculoskeletal Medicine, Sports Medicine | 6500 W 143rd Street, Overland Park, KS 66223 | 2018-07-19 |
| 1073018446 | Davidson Family Chiropractic LLC | Chiropractor | 7951 West 160th Street, Suite 500, Overland Park, KS 66223 | 2018-03-28 |
| 1104354794 | Blue Valley Dermatology | Dermatology | 7840 W 165th Street, Suite 260, Overland Park, KS 66223 | 2017-05-26 |
| 1417495797 | Eye Associates of South Overland Park | Optometrist | 8029 W 159th St., Overland Park, KS 66223 | 2017-02-07 |
| 1255876652 | Shawnee Mission Medical Center Inc | General Acute Care Hospital | 7820 W 165th Street, Overland Park, KS 66223 | 2016-12-21 |
| 1679921902 | Jake Westley Davidson | Chiropractor | 7951 W 160th Street, Suite 500, Overland Park, KS 66223 | 2016-05-26 |
| 1356709281 | Peak Health, LLC | Physical Medicine & Rehabilitation | 7555 W 150th St Ste A, Overland Park, KS 66223 | 2016-02-06 |
| 1881068179 | Jalaleddin Zakeri | Chiropractor | 7504 W 156 St, Overland Park, KS 66223 | 2015-11-24 |
| 1972999688 | Karen Gell | Pharmacy Technician | 8101 West 151st Street, Overland Park, KS 66223 | 2015-04-09 |
| 1861812869 | Acute Spinal Rehab Pa | Chiropractor | 7555 W 150th Street, Overland Park, KS 66223 | 2014-04-17 |
| Find all providers in zip 66223 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306896147 | Derek Michael Reed | Family Medicine | 159 E Dallas Rd, Stanley, NC 28164-2052 | 2006-05-11 |
| 1598722886 | James S Forrester Md Pa | Family Medicine | 510 S Highway 27, Stanley, NC 28164-2056 | 2006-04-28 |
| 1881666899 | R. David Lee | Family Medicine | 235 Medical Dr, Stanley, VA 22851-4112 | 2006-02-03 |
| 1770577629 | Mitzi M Groves | Family Medicine | 15101 Glenwood Ave, Stanley, KS 66223-3154 | 2005-09-07 |
| 1871956045 | Lacmbouh Ade | Family Medicine | 1120 Pine St, Stanley, WI 54768-1297 | 2016-04-04 |
| 1891175527 | Jenna Beth Kawase Eshcol | Family Medicine | 15101 Glenwood Ave, Stanley, KS 66223-3154 | 2015-06-08 |
| 1326278912 | Mark Kenneth Longmuir | Family Medicine | 615 6th St Se, Stanley, ND 58784-4444 | 2009-07-17 |
| 1871729210 | Achal Gupta | Family Medicine | 1120 Pine St, Stanley, WI 54768-1297 | 2009-05-29 |
| 1437300274 | Myrna Casing | Family Medicine | 36887 156th Ave, Stanley, WI 54768-6417 | 2008-10-09 |
| 1437314838 | Overland Park Surgical Specialties, LLC | Family Medicine | 15101 Glenwood Ave, Stanley, KS 66223-3154 | 2008-07-24 |
| Find all providers in STANLEY | ||||
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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.