MARK JOHNSTON WILLIAMS (NPI# 1174590947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174590947 |
| Entity Type | Individual |
| Full Name | MARK JOHNSTON WILLIAMS |
| Credential | M.D. |
| Practice Address |
2901 N. 4th St. Longview TX 75605-5128 |
| Mailing Address |
Po Box 614 Longview TX 75606-0614 |
| Practice Telephone | 9032472050 |
| Practice Fax Number | 9039348280 |
| Mailing Telephone | 9032472050 |
| Mailing Fax Number | 9039348280 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2017-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
H3845 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 138869601 | 05 |
| 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 |
2901 N. 4TH ST. |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75605-5128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801863709 | Jimmy Martin Chamness II | Anesthesiology | 2901 N. 4th St., Longview, TX 75605-5128 | 2006-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
| 1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
| 1245733492 | Somers Pediatrics | Pediatrics | 103 W. Loop 281, Suite 474, Longview, TX 75605 | 2018-03-14 |
| 1467838391 | Piney Woods Er II LLC | Clinic/Center | 120 East Loop 281, Longview, TX 75605 | 2015-08-03 |
| 1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
| 1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
| 1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
| 1316230139 | Traditions Hospice of Longview, LLC | Hospice Care, Community Based | 4362 N Us Hwy 259, Suite B, Longview, TX 75605 | 2011-05-26 |
| 1184916769 | Telema Dikibujiri Nga | Pediatrics | Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 | 2011-05-13 |
| 1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
| Find all providers in zip 75605 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811982481 | Horizon Anesthesia Associates Pa | Anesthesiology | 2901 4th St, Longview, TX 75605-5128 | 2005-09-20 |
| 1164827507 | Pain Associates of Longview Pllc | Anesthesiology | 438 N Fredonia St, Longview, TX 75601-6468 | 2014-10-28 |
| 1194083352 | Aaron K Calodney M.d., P.a. | Anesthesiology | 725 N 4th St, Longview, TX 75601-5412 | 2012-04-25 |
| 1265752315 | Carmine Vincifora | Anesthesiology | 701 E Marshall Ave Ste 400, Longview, TX 75601-5595 | 2010-06-10 |
| 1083717961 | Annette Marie Stephens | Anesthesiology | 1615 Delaware St, Inmotion Clinic, Longview, WA 98632-2367 | 2006-09-06 |
| 1538136189 | Dennis Ray Beck | Anesthesiology | 703 E Marshall Ave, Longview, TX 75601-5500 | 2006-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033930 | Phuong Dinh Nguyen | Anesthesiology | 11726 E Streamertail Cir # 2, Cypress, TX 77433-6732 | 2020-11-08 |
| 1699375576 | Prwcswtx LLC | Anesthesiology | 700 Paredes Ave Ste 107, Brownsville, TX 78521-2169 | 2020-10-29 |
| 1235742388 | Tricity Pain Associates Pa | Anesthesiology | 14800 San Pedro Ave Ste 115, San Antonio, TX 78232-3734 | 2020-08-28 |
| 1669081915 | Laila Pm&a Group Inc | Anesthesiology | 1803 Longwood Ct, Allen, TX 75013-3074 | 2020-07-23 |
| 1164050498 | Manuel Ybarra Md | Anesthesiology | 255 E Sonterra Blvd Ste 203, San Antonio, TX 78258-4076 | 2020-03-31 |
| 1104451079 | Daniel Dalton Dubose, Md, Pa | Anesthesiology | 201 Crown Pointe Blvd Ste 200, Willow Park, TX 76087-1304 | 2020-03-11 |
| 1700423738 | Esplanade Medical Services Pllc | Anesthesiology | 2024 W 15th St # F-366, Plano, TX 75075-7363 | 2019-12-10 |
| 1760027700 | Sameer Syed, Md, Pa | Anesthesiology | 3151 W 15th St Ste B, Plano, TX 75075-7731 | 2019-11-13 |
| 1518501030 | Institute of Precision Pain Medicine, Pllc | Anesthesiology | 13725 Northwest Blvd Ste 120a, Corpus Christi, TX 78410-3743 | 2019-10-29 |
| 1629628672 | Yancey Pain & Spine, Lllp | Anesthesiology | 9200 Pinecroft Dr Ste 330, Shenandoah, TX 77380-3279 | 2019-09-11 |
| 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.