MR. GORDON RIAN WILLIAMS (NPI# 1174863260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174863260 |
| Entity Type | Individual |
| Full Name | MR. GORDON RIAN WILLIAMS |
| Credential | ATC |
| Practice Address |
76 Lou Groza Blvd Berea OH 44017-1238 |
| Mailing Address |
363 Hemlock Dr Berea OH 44017-1029 |
| Practice Telephone | 4408915128 |
| Mailing Telephone | 2166505480 |
| Mailing Fax Number | 4408245769 |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2013-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT.003337 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831612563 | Gordon Williams | Licensed Practical Nurse | 1114 New York Ave Apt 5a, Brooklyn, NY 11203-4951 | 2017-07-25 |
| 1194768382 | Gordon Frank Williams | Emergency Medicine | 990 Oak Ridge Tpke, Oak Ridge, TN 37830-6976 | 2006-06-14 |
| 1477503993 | Gordon Harold Williams | Internal Medicine | 221 Longwood Avenue Rfb2, Brigham and Women's Hospital Endocrinology Diabetes And, Boston, MA 02115 | 2006-05-12 |
| Street Address |
76 LOU GROZA BLVD |
| City | BEREA |
| State | OH |
| Zip Code | 44017-1238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649825951 | Robert Lewis | Specialist/Technologist | 76 Lou Groza Blvd, Berea, OH 44017-1238 | 2019-08-04 |
| 1508423500 | Ryan Collins | Specialist/Technologist | 76 Lou Groza Blvd, Berea, OH 44017-1238 | 2019-05-24 |
| 1639540081 | Seth Campbell | Specialist/Technologist | 76 Lou Groza Blvd, Berea, OH 44017-1238 | 2015-10-12 |
| 1659783819 | Timothy Ridner | Specialist/Technologist | 76 Lou Groza Blvd, Berea, OH 44017-1238 | 2014-05-22 |
| 1285045641 | Aaron Walker | Specialist/Technologist | 76 Lou Groza Blvd, Berea, OH 44017-1238 | 2014-05-19 |
| 1841601598 | Brady Mollner | Specialist/Technologist | 76 Lou Groza Blvd, Berea, OH 44017-1238 | 2014-05-15 |
| 1942644059 | Caleb Couture | Specialist/Technologist | 76 Lou Groza Blvd, Berea, OH 44017-1238 | 2013-04-19 |
| 1821339730 | Andre' M Tucker | Specialist/Technologist | 76 Lou Groza Blvd, Berea, OH 44017-1238 | 2013-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023632759 | Faseeha Raza | Student in an Organized Health Care Education/Training Program | Baldwin Wallace University Physician Assistant Program, 201 Front Street, Berea, OH 44017 | 2020-05-28 |
| 1851885412 | Monica Lynne Mcfarland | Occupational Therapy Assistant | 570 North Rocky River Drive, Berea, OH 44017 | 2018-06-18 |
| 1700301207 | Cherelle Scott | Counselor | 398 W Bagley Road Ste, Suite 216, Berea, OH 44017 | 2017-08-07 |
| 1780042457 | Linda Lou Cummings | Social Worker | 202 E. Bagley Road, Berea, OH 44017 | 2016-02-09 |
| 1760827042 | Pathways Hospice LLC | Hospice Care, Community Based | 885 W. Bagley Road, Berea, OH 44017 | 2013-05-01 |
| 1336457134 | Mary Elizabeth Italiano-burke | Licensed Practical Nurse | 90 Emerson Dr., #11009, Berea, OH 44017 | 2010-09-15 |
| 1720260979 | Cooperative Medical Health Care Corporation Professional Association | Mechanotherapist | 165 W. Bagley Rd., Berea, OH 44017 | 2007-11-29 |
| 1326230616 | Marilyn Sue George | Psychoanalyst | 187 Seminary St, Berea, OH 44017 | 2007-08-10 |
| 1437371556 | Michael Charles Powell | Registered Nurse | 501 Nobottom Rd, Berea, OH 44017 | 2007-05-02 |
| 1538381439 | Paula Davis Fultz | Counselor | 303 E. Bagley Road, Berea, OH 44017 | 2007-05-02 |
| Find all providers in zip 44017 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598263121 | Lucas Scheidemantel | Specialist/Technologist | 136 E Bagley Rd, Berea, OH 44017-2011 | 2018-01-29 |
| 1669837662 | Bradley R Smith | Specialist/Technologist | Berea College Cpo 2187, Berea, KY 40404-0001 | 2015-12-18 |
| 1669401006 | Andrea Monique Cook | Specialist/Technologist | 275 Eastland Rd, Berea, OH 44017-2005 | 2006-06-30 |
| 1679500474 | Sandra Lee Williams | Specialist/Technologist | Berea College, Cpo 2093, Berea, KY 40404-0001 | 2006-06-27 |
| 1710943501 | Marc J Bramlage | Specialist/Technologist | 345 Springhurst Dr, Berea, KY 40403-8741 | 2006-04-21 |
| 1164048518 | Mariah Ellen Stuart | Specialist/Technologist | 101 Chestnut St, Berea, KY 40403-1516 | 2020-06-22 |
| 1649825951 | Robert Lewis | Specialist/Technologist | 76 Lou Groza Blvd, Berea, OH 44017-1238 | 2019-08-04 |
| 1508423500 | Ryan Collins | Specialist/Technologist | 76 Lou Groza Blvd, Berea, OH 44017-1238 | 2019-05-24 |
| 1194281501 | Cynthia Marie Zilko | Specialist/Technologist | 275 Eastland Rd, Berea, OH 44017-2005 | 2019-02-11 |
| 1538670062 | Kayce Krucki | Specialist/Technologist | 275 Eastland Rd, Berea, OH 44017-2005 | 2017-10-24 |
| Find all providers in BEREA | ||||
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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.