TIMOTHY R WILLIAMS (NPI# 1194723247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194723247 |
| Entity Type | Individual |
| Full Name | TIMOTHY R WILLIAMS |
| Credential | DO |
| Practice Address |
2200 State St Lawrenceville IL 62439-1852 |
| Mailing Address |
2200 West State St. Lawrenceville IL 62439 |
| Practice Telephone | 6189437242 |
| Mailing Telephone | 6189437242 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2016-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 036.120252 | IL | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 02001015A | IN | Allopathic & Osteopathic Physicians |
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
02001015AB | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 245815311 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645700 | Timothy Alan Williams Jr. | Family Medicine | 1625 E 75th St Fl 1, Chicago, IL 60649-3603 | 2020-06-30 |
| 1326588617 | Timothy R Williams | Behavior Technician | 2055 15th Ave Sw, Vero Beach, FL 32962-6862 | 2017-03-06 |
| 1912393554 | Timothy Williams | Registered Nurse | Building 38701 38th St, Fort Gordon, GA 30905 | 2015-04-10 |
| 1851738157 | Timothy Micheal Williams | Pharmacist | 102-04 Flatlands Ave, Brooklyn, NY 11236 | 2013-05-28 |
| 1700169414 | Timothy David Williams | Rehabilitation Practitioner | 3963 Silver Strike Ct, Las Vegas, NV 89129-1833 | 2011-09-20 |
| 1871723064 | Timothy P Williams | Physical Therapist | 1902 E Mountain Man Dr, Meridian, ID 83646-7783 | 2009-07-22 |
| 1598990400 | Timothy Leon Williams | Occupational Therapist | 1723 Carol Stream Dr, Richardson, TX 75081-2120 | 2009-05-20 |
| 1356565022 | Timothy Shane Williams | Dentist | 2915 N Oakwood Ave, Muncie, IN 47304-2255 | 2007-04-12 |
| 1558448902 | Timothy Williams | Dentist | 4221 85th St, Lubbock, TX 79423-1931 | 2006-11-01 |
| 1790731446 | Timothy R. Williams | Radiology | 5280 Linton Blvd, Delray Beach, FL 33484-6516 | 2006-05-25 |
| Street Address |
2200 STATE ST |
| City | LAWRENCEVILLE |
| State | IL |
| Zip Code | 62439-1852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396024162 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1899 | 2011-08-11 |
| 1972707792 | Mark E Kennedy | Nurse Anesthetist, Certified Registered | 2200 State St, Lawrenceville, IL 62439-1852 | 2007-06-14 |
| 1326136383 | Midwest Ultrasound Services, Inc. | Spec/Tech, Cardiovascular | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-10-11 |
| 1952401374 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-25 |
| 1215037635 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-25 |
| 1386744795 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-25 |
| 1801996228 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-25 |
| 1346340775 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-25 |
| 1629177910 | Lawrence County Memorial Hospital | Ambulance | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-22 |
| 1366550055 | Lawrence County Memorial Hospital | Medicare Defined Swing Bed Unit | 2200 State St, Lawrenceville, IL 62439-1899 | 2006-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801406590 | Allyson Fiscus | Nurse Practitioner | 11020 Il-250, Lawrenceville, IL 62439 | 2020-08-06 |
| 1164071700 | Lauren E Welton | Case Manager/Care Coordinator | 11362 Country Club Road, Lawrenceville, IL 62439 | 2019-09-06 |
| 1962063354 | Connie Deckard | Counselor | Lawrence County Health Department Behavior Health, 11020 State Route 250, Lawrenceville, IL 62439 | 2019-06-26 |
| 1225485527 | Megan Joergens | Social Worker | 11120 State Route 250, Lawrenceville, IL 62439 | 2016-05-17 |
| 1235509456 | Christy M Wimberly | Private Vehicle | 1417 Dubios St., Lawrenceville, IL 62439 | 2015-09-30 |
| 1144637521 | Joy Singson Uy | Physical Therapist | 2101 James St United Methodist Village North, Lawrenceville, IL 62439 | 2014-07-17 |
| 1760791792 | Lawrence Co | Secured Medical Transport (VAN) | 2009 Lexington Ave, Lawrenceville, IL 62439 | 2010-09-24 |
| 1134358922 | Lawrence County Health Department | Public Health or Welfare | Rural Route3 Box 430, Lawrenceville, IL 62439 | 2009-07-14 |
| 1366678161 | Judith Joan Phipps | Counselor | Rr1 Box 277, Lawrenceville, IL 62439 | 2009-06-08 |
| 1366648784 | S. Hurn Baek | Radiology | Lawrence County Memorial Hospital, Radiology, 2200 W. State St., Lawrenceville, IL 62439 | 2007-06-22 |
| Find all providers in zip 62439 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841684446 | Young Jun Chai | Emergency Medicine | 173 August West Way, Lawrenceville, GA 30046 | 2015-03-23 |
| 1154681567 | Kenneth Onyekwere Ofoha | Emergency Medicine | 401 W Pike St, Suite A & B, Lawrenceville, GA 30046-4845 | 2012-05-18 |
| 1598082141 | Richard D. Mccormick | Emergency Medicine | 500 Medical Center Blvd Ste 135, Lawrenceville, GA 30046-8708 | 2010-04-22 |
| 1194953638 | Neha Verma | Emergency Medicine | 1031 Chase Creek Ct, Lawrenceville, GA 30044-7571 | 2009-06-23 |
| 1073608535 | Roy Gilbreath | Emergency Medicine | 1185 Rivershyre Pkwy, Lawrenceville, GA 30043-4435 | 2006-10-03 |
| 1629089545 | Ronnie Eugene Hendrix | Emergency Medicine | 4835 Sugarloaf Pkwy, Suite # 200, Lawrenceville, GA 30044-6912 | 2006-08-10 |
| 1114903135 | Vincent Joseph Leonti | Emergency Medicine | 134 Franklin Corner Rd Ste 101b, Lawrenceville, NJ 08648-2527 | 2005-12-21 |
| 1740752534 | Zenia 1 LLC | Emergency Medicine | 930 New Hope Rd Ste 10, Lawrenceville, GA 30045-3837 | 2018-12-18 |
| 1306370853 | Sean Kolowich | Emergency Medicine | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2017-04-11 |
| 1588197339 | Michele Melamed | Emergency Medicine | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2017-04-09 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 62439 |
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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.