DR. MARK SCOTT WILLIAMS (NPI# 1114961166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114961166 |
| Entity Type | Individual |
| Full Name | DR. MARK SCOTT WILLIAMS |
| Credential | D.O. |
| Practice Address |
215 E Hawaii Ave Nampa ID 83686-6011 |
| Practice Telephone | 2084633291 |
| Practice Fax Number | 2084633049 |
| Mailing Telephone | 2084633291 |
| Mailing Fax Number | 2084633048 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2014-09-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | O-157 | ID | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
O-157 | ID | Allopathic & Osteopathic Physicians |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 0-157 | ID | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133340 | Mark Alan Williams | Physician Assistant | 4814 Lake Livingston Dr, Corpus Christi, TX 78413-5139 | 2020-10-28 |
| 1427435858 | Mark Williams | Physical Therapy Assistant | 1160 Woodwind Dr, Talbott, TN 37877-8357 | 2015-05-06 |
| 1841590361 | Mark Lee Williams | Chiropractor | 1786 N Mills Ave, Orlando, FL 32803-1852 | 2010-11-01 |
| 1396075214 | Mark S. Williams | Dentist | 673 Exton Cmns, Exton, PA 19341-2446 | 2009-12-29 |
| 1144455684 | Mark X. Williams | Ambulance | 6576 Pine Top Cir S, Memphis, TN 38141-7800 | 2009-05-28 |
| 1861649642 | Mark Edwin Williams | Physician Assistant | 9714 Healthway Dr # Drl, Berlin, MD 21811-1154 | 2008-08-22 |
| 1578723342 | Mark Thomas Williams | Dentist | 14815 Highland Dr, Mc Kenzie, TN 38201-6228 | 2008-06-14 |
| 1255511515 | Mark Williams | Pharmacist | 1744 Bard Ln, East Meadow, NY 11554-1506 | 2007-11-05 |
| 1104039379 | Mark Thomas Williams | Psychologist | 1615 Haslett Rd, Williamston, MI 48895-9498 | 2007-05-07 |
| 1538291737 | Mark Thomas Williams | Chiropractor | 1219 Watervliet Ave, Dayton, OH 45420-2705 | 2007-03-12 |
| Street Address |
215 E HAWAII AVE |
| City | NAMPA |
| State | ID |
| Zip Code | 83686-6011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396740668 | Peter Stevan Jerome | Internal Medicine | 215 E Hawaii Ave, Nampa, ID 83686-6011 | 2005-06-14 |
| 1174145809 | Carolyn Knackstedt | Family Medicine | 215 E Hawaii Ave, Nampa, ID 83686-6011 | 2020-05-15 |
| 1609498336 | Houston Reynolds | Family Medicine | 215 E Hawaii Ave, Nampa, ID 83686-6011 | 2020-05-15 |
| 1427670157 | Ali Sup | Family Medicine | 215 E Hawaii Ave, Nampa, ID 83686-6011 | 2020-05-15 |
| 1710509443 | Rory Hawker | Family Medicine | 215 E Hawaii Ave, Nampa, ID 83686-6011 | 2020-05-15 |
| 1689295180 | Patricia J Funkhouser | Nurse Practitioner | 215 E Hawaii Ave, Nampa, ID 83686-6011 | 2020-05-06 |
| 1275169252 | Ashley Whitlow | Nurse Practitioner | 215 E Hawaii Ave, Nampa, ID 83686-6011 | 2020-03-21 |
| 1669002721 | Nicole Webb | Physician Assistant | 215 E Hawaii Ave, Nampa, ID 83686-6011 | 2020-01-16 |
| 1548824964 | Catherine Heil | Family Medicine | 215 E Hawaii Ave, Nampa, ID 83686-6011 | 2019-05-01 |
| 1174187587 | Mark Dahle | Family Medicine | 215 E Hawaii Ave, Nampa, ID 83686-6011 | 2019-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255960 | Kristine Lynn Fitts-eisenbrandt | Social Worker | 270 W. Gerogia Ave., Nampa, ID 83686 | 2020-01-30 |
| 1669025706 | Vitality Family Chiropractic, Pllc | Chiropractor | 3189 E Greenhurst Rd, Nampa, ID 83686 | 2019-07-18 |
| 1871150185 | King's Peak Investments, Inc. | Substance Abuse Rehabilitation Facility | 8898 Idaho 45, Nampa, ID 83686 | 2019-05-22 |
| 1154805786 | Jmj Nampa LLC | Dentist | 914 12th Ave Rd, Nampa, ID 83686 | 2018-09-19 |
| 1518448703 | Michel Cox | Pharmacy Technician | 2219 12th Ave S, Nampa, ID 83686 | 2018-08-24 |
| 1437504909 | 5 Peppers Inc | Family Medicine | 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 | 2016-05-03 |
| 1811369549 | Anna Stoia | Physician Assistant | 4401 E. Tuscany Ave., Nampa, ID 83686 | 2015-10-21 |
| 1144699307 | Jamie Green | Social Worker | 112 12th Avenue Rd., Nampa, ID 83686 | 2015-09-17 |
| 1174927933 | Bower Chiropractic Inc | Chiropractor | 304 12th Ave Rd, Nampa, ID 83686 | 2014-10-22 |
| 1285037093 | Rosemary Phelps | Registered Nurse | 353 W. Iowa, Nampa, ID 83686 | 2014-10-07 |
| Find all providers in zip 83686 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407237043 | Jacob Kent Christensen | Family Medicine | 831 S Ash St, Moscow, ID 83843 | 2015-06-09 |
| 1801292115 | Idaho State University | Family Medicine | 921 S 8th Ave Stop 8173, Sports and Orthopaedic Center, Pocatello, ID 83209-8173 | 2014-11-13 |
| 1508152257 | Tobias P Gopon | Family Medicine | 600 N Robbins Rd Ste 400, Boise, ID 83702-4566 | 2011-06-21 |
| 1215137526 | Dean Edward Lapinel | Family Medicine | 1437 E Braemere Rd, Boise, ID 83702-1857 | 2007-07-24 |
| 1881629202 | Craig M Smith | Family Medicine | 5959 N Discovery Place, Boise, ID 83713-1556 | 2006-07-12 |
| 1477581122 | Kurt J Nilsson | Family Medicine | 1109 W Myrtle St, Suite 200, Boise, ID 83702-6970 | 2006-06-30 |
| 1659870517 | Orthoidaho LLC | Family Medicine | 2240 E Center St, Pocatello, ID 83201-2600 | 2018-02-06 |
| 1366822892 | Kaleb Redden | Family Medicine | 777 N Raymond St, Boise, ID 83704-9251 | 2015-05-29 |
| 1295094217 | James Kendall Christensen | Family Medicine | 2375 E Sunnyside Rd, Ste F, Idaho Falls, ID 83404-8280 | 2012-05-11 |
| 1770877888 | Anthony Joseph Md Inc | Family Medicine | 333 N 18th Ave, Suite D-1, Pocatello, ID 83201-3358 | 2011-06-06 |
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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.