SHELLY L WILLIAMS, DO PLLC (NPI# 1154577419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154577419 |
| Entity Type | Organization |
| Organization Name | SHELLY L WILLIAMS, DO PLLC |
| Practice Address |
318 Center St Muskegon MI 49445-3113 |
| Practice Telephone | 2317190798 |
| Practice Fax Number | 2317448570 |
| Mailing Telephone | 2317190798 |
| Mailing Fax Number | 2317448570 |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2011-02-08 |
| Authorized Official Name | SHELLY L WILLIAMS (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 2317190798 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
5101009366 | MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4736780 | 05 | |
| MEDICARE INDIVIDUAL NUMBER | P01260001 | 01 | |
| INDIVIDUAL NPI NUMBER | 1205859956 | 01 |
| Street Address |
318 CENTER ST |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49445-3113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306079009 | Brown Family Chiropractic Pllc | Chiropractor | 318 Center St, Muskegon, MI 49445-3113 | 2009-08-27 |
| 1689806499 | Jason Wayne Brown | Chiropractor | 318 Center St, Muskegon, MI 49445-3113 | 2009-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659880961 | Northshore Dental Associates P.C. | Dentist | 1179 Whitehall Road, Suite A, Muskegon, MI 49445 | 2017-09-29 |
| 1154874311 | Debbie Freed | Contractor | 3444 Automobile Road, Muskegon, MI 49445 | 2016-07-25 |
| 1346698784 | Spectrum Health Primary Care Partners | Internal Medicine | 2009 Holton Road, Muskegon, MI 49445 | 2016-05-26 |
| 1750637492 | Zenaida Vasquez-johnson | Dental Hygienist | 650 Horton Road, N. Muskegon, MI 49445 | 2012-07-31 |
| 1467735654 | Richard Thomas Poort | Pharmacist | 1771 Holton Rd., Muskegon, MI 49445 | 2011-09-23 |
| 1558543322 | Dawn June Prince | Technician/Technologist | 1343 Whitehall Road, Muskegon, MI 49445 | 2007-12-03 |
| 1578602397 | Eric David Stawski | Dentist | 1634 Holton Road, Muskegon, MI 49445 | 2007-02-06 |
| 1386700318 | Sharon Rubick | Durable Medical Equipment & Medical Supplies | 2411 Lake Ave, #21, North Muskegon, MI 49445 | 2006-12-27 |
| 1962574129 | Thompson Greig Boyd | Dentist | 200 Holton Rd, Suite H, North Muskegon, MI 49445 | 2006-11-14 |
| 1467548974 | Stephanie Jo Grinstead | Physical Therapy Assistant | 1712 Holton Road, Suite B, Muskegon, MI 49445 | 2006-10-04 |
| Find all providers in zip 49445 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805306 | Alex Wagner, LLC | Clinic/Center | 1864 Lakeshore Dr Ste A, Muskegon, MI 49441-1607 | 2020-09-11 |
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|---|---|---|---|---|
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| 1760013262 | Tranquility Wellness Center | Clinic/Center | 5237 Oakman Blvd Ste B100, Dearborn, MI 48126-4045 | 2020-02-03 |
| 1588295463 | Scheurer Hospital | Clinic/Center | 100 Pigeon Rd Ste C, Bad Axe, MI 48413-8169 | 2020-01-30 |
| 1639718539 | Scheurer Hospital | Clinic/Center | 75 Buschlen Rd, Bad Axe, MI 48413 | 2019-12-26 |
| 1780235465 | Careatc | Clinic/Center | 2221 Health Dr Sw Ste 1500, Grand Rapids, MI 49519-9681 | 2019-09-24 |
| 1821649948 | Hope Primary Care of Birch Run Pllc | Clinic/Center | 9143 Birh Run Rd, Ste 3, Birch Run, MI 48415 | 2019-09-20 |
| 1609425180 | Wafa A Elhassan Md Pllc | Clinic/Center | 1905 S Haggerty Rd, Canton, MI 48188-2025 | 2019-09-08 |
| 1861966244 | Progressive Care Medical Group of Mi, Pllc | Clinic/Center | 734 Starkweather Drive, Lansing, MI 48917-1128 | 2019-01-18 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| 1326553959 | Hope Primary and Urgent Care of Big Rapids Pllc | Clinic/Center | 201 Linden Street, Big Rapids, MI 49307 | 2017-12-05 |
| 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.