DR. ROGER J WILLIAMS (NPI# 1174543821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174543821 |
Entity Type | Individual |
Full Name | DR. ROGER J WILLIAMS |
Credential | M.D. |
Practice Address |
4300 W Main St Suite 102 Dothan AL 36305-1054 |
Mailing Address |
326 Club Dr Gainesville GA 30506-1782 |
Practice Telephone | 3347939564 |
Practice Fax Number | 3347121886 |
Mailing Telephone | 7705327623 |
Enumeration Date | 2006-07-19 |
Last Update Date | 2013-03-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 041388 | GA | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790385888 | Roger Gale Williams II | Chiropractor | 121 N Commerce St Ste 212, Johnson City, TN 37604-4712 | 2020-10-28 |
1376991182 | Roger Dale Williams Vi | Technician, Other | 6300 Montgomery Blvd Ne, W128, Albuquerque, NM 87109-1422 | 2016-06-02 |
1750552832 | Roger Williams | Student in an Organized Health Care Education/Training Program | Womack Area Medical Center, Family Medical Residency Center, Bldg 4-2817, Fort Bragg, NC 28310-5000 | 2008-03-18 |
1467643650 | Roger Thomas Williams | Anesthesiology | 405 Londonderry Drive, Suite 105, Woodway, TX 76712 | 2007-08-05 |
1982709481 | Roger Anson Williams | Pathology | Carpenter St 2 Ne of Third, Carmel By The Sea, CA 93921-2402 | 2006-09-13 |
1043223761 | Roger Lee Williams | Dentist | 200 Cedar Ave, Moundsville, WV 26041 | 2006-08-14 |
1750325692 | Roger S. Williams | Psychiatry & Neurology | 120 Poly Dr, Suite 201, Billings, MT 59101-0136 | 2006-06-14 |
1811970452 | Roger C Williams | Dentist | 2750 Dover Center Rd, Westlake, OH 44145-4501 | 2005-11-29 |
1740732825 | Roger Charles Williams Jr. | Nurse Practitioner | 301 40th St, Lubbock, TX 79404-2746 | 2016-10-25 |
1457476889 | Roger Michael Williams | Physician Assistant | 1009 W Baker St, Plant City, FL 33563-4431 | 2007-03-21 |
Street Address |
4300 W MAIN ST SUITE 102 |
City | DOTHAN |
State | AL |
Zip Code | 36305-1054 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396740577 | Steven M. Fendley | Surgery | 4300 W Main St, Ste 24, Dothan, AL 36305-1054 | 2005-06-15 |
1649635434 | Leigh Phillips | Registered Nurse | 4300 W Main St, Suite 21, Dothan, AL 36305-1054 | 2015-12-21 |
1336514389 | Tri-state Urology, P.C. | Urology | 4300 W Main St, Suite 102, Dothan, AL 36305-1054 | 2015-12-02 |
1861870131 | Martin Plastic and Reconstructive Surgery, PC | Plastic Surgery | 4300 W Main St, Suite 102, Dothan, AL 36305-1054 | 2015-05-07 |
1811387053 | Eric M Warg | Registered Nurse | 4300 W Main St, 24, Dothan, AL 36305-1054 | 2015-01-26 |
1720426133 | Krystal Sims Fowler | Nurse Practitioner | 4300 W Main St, Suite 31, Dothan, AL 36305-1090 | 2013-06-07 |
1932497393 | Dothan Surgical Services, LLC | Surgery | 4300 W Main St, Dothan, AL 36305-1054 | 2011-07-19 |
1558657890 | Wiregrass Clinic LLC | Anesthesiology | 4300 W Main St, Suite 21, Dothan, AL 36305-1054 | 2011-06-24 |
1992096440 | Wiregrass Neurology, PC | Psychiatry & Neurology | 4300 W Main St, Suite 102, Dothan, AL 36305-1092 | 2011-05-02 |
1134426588 | Norma Faye Mcknight | Nurse Practitioner | 4300 W Main St, Suite 102, Dothan, AL 36305-1054 | 2011-02-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962059998 | Samantha Nicole Bolden | Counselor | 1001 John D. Odom Road, Dothan, AL 36305 | 2019-08-23 |
1578968780 | Aba Therapy & Consulting Services | Behavioral Analyst | 3124 West Main Street, Suite 9, Dothan, AL 36305 | 2014-10-30 |
1306247796 | Tracey Lynn Carter | Registered Nurse | 4300 W Main St Ste 102, Dothan, AL 36305 | 2014-09-04 |
1760829881 | Michael Brent Nance | Nurse Practitioner | 4370 West Main Street, Dothan, AL 36305 | 2013-05-30 |
1033495221 | Professional Resource Management of Wiregrass, LLC | Psychiatry & Neurology | 2812 Hartford Hwy Ste 1, Dothan, AL 36305 | 2011-11-01 |
1649555483 | Ashley Dawn Morrow | Pharmacist | 2940 West Main Street, Dothan, AL 36305 | 2011-10-12 |
1740599273 | Aline M Mays-easley | Counselor | 309 Ameris Ave, Dothan, AL 36305 | 2010-10-01 |
1356671408 | Kimberly Jones Rogers | Clinical Neuropsychologist | 200 Grove Park Ln Ste 212, Dothan, AL 36305 | 2010-01-12 |
1639347818 | Southeast Alabama Counseling & Behavioral Specialist | Residential Treatment Facility, Emotionally Disturbed Children | 407 Honeysuckle Rd Ste 207, Dothan, AL 36305 | 2008-02-11 |
1770705667 | Michala Long | Pharmacist | 3850 West Main St, Dothan, AL 36305 | 2007-05-02 |
Find all providers in zip 36305 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003247842 | Southern Cardiovascular Care, PC | Specialist | 1800 Fairview Ave Ste 1, Dothan, AL 36301-3059 | 2013-12-04 |
1639489313 | Robert Fort Hambaugh Jr. | Specialist | 712 Woodland Drive, Dothan, AL 36301 | 2010-10-15 |
1578713186 | Laura Brumfield-collier | Specialist | 103 Wembley Ct, Dothan, AL 36305-6355 | 2008-09-19 |
1891862041 | Julianne Louise Wright | Specialist | 2323 W Main St, Suite 107, Dothan, AL 36301-1292 | 2006-11-30 |
1306913553 | Joseph Henry Bateman | Specialist | 430 W. Main St., Suite 1, Dothan, AL 36301 | 2006-11-30 |
1922030360 | Neuro-eval, P.C. | Specialist | 105 N Pontiac Ave, Suite 1, Dothan, AL 36303-3959 | 2006-07-07 |
1518912351 | Womens Healthcare of Dothan PC | Specialist | 4300 W. Main, Suite 31, Dothan, AL 36305 | 2006-05-23 |
1255393187 | Steven D Harris | Specialist | 102 Doctors Dr, Dothan, AL 36301-2911 | 2006-04-05 |
1760444608 | Joe Frank Smith | Specialist | 4300 W Main St Ste 403, Dothan, AL 36305-1314 | 2006-04-05 |
1689636086 | Frederick Kent Nunnally | Specialist | 112 Haven Dr, Suite 1, Dothan, AL 36301-2907 | 2006-04-03 |
Find all providers in DOTHAN |
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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.