CHRISTOPHER DEVON WILLIAMSON (NPI# 1164408712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164408712 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER DEVON WILLIAMSON |
| Credential | PA-C |
| Practice Address |
30 Harrison St Ste 460 Johnson City NY 13790 |
| Mailing Address |
33 Lewis Rd 2nd Fl Binghamton NY 13905-1005 |
| Practice Telephone | 6077638101 |
| Practice Fax Number | 6077638049 |
| Mailing Telephone | 6077298156 |
| Mailing Fax Number | 6077293982 |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2018-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
022018 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA 370 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS | 51527772 | 01 |
| AL | 891010200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215915616 | Christopher Eric Williamson | Optometrist | 3218 Del Prado Blvd S, Cape Coral, FL 33904-7203 | 2006-01-05 |
| 1326675208 | Christopher John Williamson | Student in an Organized Health Care Education/Training Program | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2020-03-23 |
| 1356612014 | Christopher John Williamson | Psychologist | 2 Hartford Dr, Suite 203, Tinton Falls, NJ 07701-4940 | 2012-01-25 |
| 1083900351 | Christopher J Williamson II | Orthopaedic Surgery | 400 Enterprise Dr, 2nd Floor, Royersford, PA 19468-1218 | 2011-06-24 |
| Street Address |
30 HARRISON ST STE 460 |
| City | JOHNSON CITY |
| State | NY |
| Zip Code | 13790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598325292 | Stephen Czumak | Nurse Practitioner | 30 Harrison St Ste 460, Johnson City, NY 13790-2176 | 2019-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578107645 | Thomas William Sorber | Occupational Therapist | 33 Harrison St, Johnson City, Johnson City, NY 13790 | 2019-11-01 |
| 1326534116 | Silver Linings Golden Memory Care | Clinic/Center | 4416 Watson Blvd, Johnson City, NY 13790 | 2018-07-05 |
| 1508308545 | Irene Mukeli Nzasi | Registered Nurse | 156 Corliss Ave Suite 107, Johnson City, NY 13790 | 2016-11-08 |
| 1053867754 | Tabitha Rae Toman | Physical Therapist | 34 Harrison St, Johnson City, NY 13790 | 2016-09-01 |
| 1235685066 | Dianne Brunner | Physical Therapist | 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 | 2016-08-31 |
| 1578982682 | Tracy Lynn Brown | Optometrist | 223 Reynolds Road, Johnson City, NY 13790 | 2014-04-16 |
| 1083041495 | Maryann Serbonich | Pharmacist | 52 Harrison Street, Johnson City, NY 13790 | 2013-09-30 |
| 1134464399 | Kasey Connor Folger | Speech-Language Pathologist | 3 Laurel St., Johnson City, NY 13790 | 2012-11-29 |
| 1467797571 | Bodyworks Physical Therapy LLC | Clinic/Center | 765 Harry L Drive, Johnson City, NY 13790 | 2012-11-29 |
| 1548518400 | Melissa L Korosec | Nurse Practitioner | 30 Harrison St., Suite 250, Johnson City, NY 13790 | 2012-08-27 |
| Find all providers in zip 13790 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987446 | Caleb Stephens | Physician Assistant | 310 N State of Franklin Rd Ste 101, Johnson City, TN 37604-6063 | 2020-06-17 |
| 1174932107 | Stephen Steffey | Physician Assistant | 408 N State of Franklin Rd Ste 31, Johnson City, TN 37604-6088 | 2014-08-04 |
| 1639127327 | Tracy Lynn Gaudu | Physician Assistant | 701 Med Tech Parkway, Suite 300, Johnson City, TN 37604-2365 | 2006-05-04 |
| 1851398176 | Christopher Michael Hendrix | Physician Assistant | 300 Wesley St, Johnson City, TN 37601-1722 | 2005-07-01 |
| 1275175234 | Sara Marie Pifer | Physician Assistant | 701 Med Tech Pkwy Ste 300, Johnson City, TN 37604-2365 | 2019-10-11 |
| 1821493263 | Oana Stingu | Physician Assistant | 46 Harrison St, Johnson City, NY 13790-2120 | 2014-10-28 |
| 1588834360 | Rickey Allen Ramsey | Physician Assistant | 2410 Susannah St, Johnson City, TN 37601-1765 | 2008-03-07 |
| 1366452914 | East Tennessee Brain & Spine Center, PC | Physician Assistant | 701 Med Tech Pkwy, Suite 300, Johnson City, TN 37604-2365 | 2006-08-08 |
| 1679526669 | Christian D. Tvetenstrand Md, Pllc | Physician Assistant | 30 Harrison St, Suite 320, Johnson City, NY 13790-2161 | 2006-05-18 |
| 1891750261 | Alvin L Murphy | Physician Assistant | 2410 Susannah St, Johnson City, TN 37601-1748 | 2006-04-19 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 13790 |
Please comment or provide details below to improve the information on CHRISTOPHER DEVON WILLIAMSON.
| 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.