ANGELO WILLIAMS (NPI# 1164962312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164962312 |
| Entity Type | Individual |
| Full Name | ANGELO WILLIAMS |
| Credential | D.O. |
| Practice Address |
1855 W Baseline Rd Ste 101 Mesa AZ 85202-9098 |
| Practice Telephone | 4808317566 |
| Mailing Telephone | 4808317566 |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2020-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 297847 | NY | Allopathic & Osteopathic Physicians |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE | 297847 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 Maltese Dr, Middletown, NY 10940 | 8453424774 |
| Street Address |
1855 W BASELINE RD STE 101 |
| City | MESA |
| State | AZ |
| Zip Code | 85202-9098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144438243 | Adnan Celjo | Psychiatry & Neurology | 1855 W Baseline Rd Ste 101, Mesa, AZ 85202 | 2007-05-20 |
| 1477185759 | Francis Kangere Chuchu | Nurse Practitioner | 1855 W Baseline Rd Ste 101, Mesa, AZ 85202-9098 | 2020-02-05 |
| 1629559976 | Imma Nzomo | Nurse Practitioner | 1855 W Baseline Rd Ste 101, Mesa, AZ 85202-9098 | 2018-08-24 |
| 1134628423 | Kathryn D Davis-lashley | Counselor | 1855 W Baseline Rd Ste 101, Mesa, AZ 85202-9098 | 2018-02-01 |
| 1053834945 | Benitho Louissaint | Nurse Practitioner | 1855 W Baseline Rd Ste 101, Mesa, AZ 85202-9098 | 2017-07-23 |
| 1982134763 | Jennifer Louise Monninger | Social Worker | 1855 W Baseline Rd Ste 101, Mesa, AZ 85202-9098 | 2017-06-14 |
| 1487918181 | Annette Lusko | Family Medicine | 1855 W Baseline Rd Ste 101, Mesa, AZ 85202-9098 | 2012-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410053 | Sanjhavi Agarwal | Student in an Organized Health Care Education/Training Program | 5850 E Still Cir Apt 2102, Mesa, AZ 85206-3618 | 2020-09-05 |
| 1689287542 | Victoria Lyn Slaven | Student in an Organized Health Care Education/Training Program | 1342 S Revere, Mesa, AZ 85210-5124 | 2020-08-28 |
| 1588276349 | Michael Robert Nango | Student in an Organized Health Care Education/Training Program | 5058 E Greenway St, Mesa, AZ 85205-3472 | 2020-08-21 |
| 1821600701 | Landon Merkley | Student in an Organized Health Care Education/Training Program | 120 1/2 N Wilbur, Mesa, AZ 85201-6736 | 2020-08-20 |
| 1487266524 | Brittany Alexandra Day | Student in an Organized Health Care Education/Training Program | 7325 E Mills St, Mesa, AZ 85207-2043 | 2020-08-19 |
| 1386254795 | Geneal Renee Whetten | Student in an Organized Health Care Education/Training Program | 5064 E Dartmouth Cir, Mesa, AZ 85205-6424 | 2020-08-01 |
| 1144830563 | Kaitlin Anne Benga | Student in an Organized Health Care Education/Training Program | 3060 N Ridgecrest Unit 106, Mesa, AZ 85207-1087 | 2020-08-01 |
| 1154958510 | Karzan Salih | Student in an Organized Health Care Education/Training Program | 445 S Dobson Rd Apt 1034, Mesa, AZ 85202-1827 | 2020-03-25 |
| 1689201170 | Joseph Miller | Student in an Organized Health Care Education/Training Program | 5620 E Alder Ave, Mesa, AZ 85206-1506 | 2020-03-24 |
| 1912534637 | Adam Zoltan Dregely | Student in an Organized Health Care Education/Training Program | 1440 S Clearview Ave Ste 104, Mesa, AZ 85209-3381 | 2020-03-24 |
| Find all providers in MESA | ||||
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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.