DR. JAMES BERTRAM WILLIAMS (NPI# 1265433882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265433882 |
| Entity Type | Individual |
| Full Name | DR. JAMES BERTRAM WILLIAMS |
| Credential | M.D. |
| Practice Address |
2420 W Nebraska Ave Peoria IL 61604-3112 |
| Practice Telephone | 3096805000 |
| Practice Fax Number | 3096801002 |
| Mailing Telephone | 3096805000 |
| Mailing Fax Number | 3096801002 |
| Enumeration Date | 2005-08-04 |
| Last Update Date | 2011-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
036099138 | IL | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 036099138 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE SHIELD PROVIDER NO | 7232062 | 01 |
| IL | JOHN DEERE | IL0101/010794248-01 | 01 |
| IL | RETIRED RAILROAD MEDICARE | P00059260 | 01 |
| IL | 036099138 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669096053 | James Williams | Dentist | 740 W South St, Freeport, IL 61032-6840 | 2020-06-02 |
| 1477184331 | James Lee Williams | Nurse Practitioner | 251 S Pine St # 606337, Pineville, KY 40977-1646 | 2020-01-30 |
| 1679038780 | James Williams | Counselor | 876 Highway 116 S Ste 6, Sebastopol, CA 95472-4545 | 2019-02-02 |
| 1104391556 | James T Williams Jr. | Physician Assistant | 1650 Liberty Dr Ste 100, Thomasville, NC 27360-5375 | 2018-10-11 |
| 1578098752 | James Williams | Counselor | 414 Broadway Ave, Pueblo, CO 81004 | 2017-04-26 |
| 1598206948 | James Williams | Massage Therapist | 12028 Fillman Rd Se, Rainier, WA 98576-9726 | 2017-03-18 |
| 1356881700 | James Robert Williams | Driver | 15 Tiffany Ln, Hampton, VA 23664-2058 | 2017-03-05 |
| 1033565957 | James Williams | Driver | 568 Highway 1 N, Greenville, MS 38701-3171 | 2016-05-10 |
| 1194189860 | James Williams Jr. | Behavioral Analyst | 9819 Tuskegee St, Notasulga, AL 36866-2514 | 2016-04-08 |
| 1902214638 | James Williams | Military Health Care Provider | Uss Whirlwind, Pc 11, Fpo, AE 09591-1970 | 2014-07-25 |
| Street Address |
2420 W NEBRASKA AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61604-3112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962417485 | Cardiac Thoracic & Endovascular Therapies, S.c. | Surgery | 2420 W Nebraska Ave, Peoria, IL 61604-3112 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205357928 | Nydia I Rodriguez | Nurse's Aide | 3305 N Finnell Ave, Peoria, IL 61604 | 2017-07-03 |
| 1720327976 | Brin Diagnostics Inc. | Clinical Medical Laboratory | 3216 W Kenwood, West Peoria, IL 61604 | 2013-02-07 |
| 1225373715 | Ngocyen Thi Ngo | Pharmacist | 2515 N Knoxville Avenue, Peoria, IL 61604 | 2012-12-10 |
| 1194027003 | Schelly Chiropractic, Inc | Chiropractor | 1208 W Loucks, Peoria, IL 61604 | 2010-11-29 |
| 1770755852 | Dental Sealants & More | Dentist | 2126 N. University St., Peoria, IL 61604 | 2008-03-28 |
| 1821266123 | David L Krick | Dentist | 2022 N University, Peoria, IL 61604 | 2008-02-20 |
| 1568658409 | Advanced Physicians Health Care, S.c. | Chiropractor | 1200 West Loucks Ave, Peoria, IL 61604 | 2007-09-24 |
| 1902006000 | Noel Liu | Dentist | 3127 N. University St., Unit C, Peoria, IL 61604 | 2007-07-18 |
| 1568586386 | Susan B Bordenave-bishop | Dentist | 2116 N. Sheridan, Peoria, IL 61604 | 2007-03-19 |
| 1174689897 | Paul Anthony Amodeo | Dentist | 3100 N Dries Lane, Suite 301, Peoria, IL 61604 | 2006-12-28 |
| Find all providers in zip 61604 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518991074 | Mark D Plunkett | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 420 Ne Glen Oak Ave Ste 301, Suite 301, Peoria, IL 61603-3169 | 2006-07-10 |
| 1720023179 | Heartcare Midwest, Ltd | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5405 N Knoxville Avenue, Peoria, IL 61614-5016 | 2006-06-19 |
| 1114018439 | Illinois Cardiac Surgery Associates Sc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 515 Ne Glen Oak, Suite 105, Peoria, IL 61603-3167 | 2006-09-28 |
| 1154337236 | Paul A Siebert | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1001 Main St, Suite 300, Peoria, IL 61606-1907 | 2006-07-31 |
| 1487669735 | Farnaz Nani Moazzam | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1001 Main St, Suite 300, Peoria, IL 61606-1907 | 2006-07-29 |
| 1992735922 | James Munns | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5405 N Knoxville Ave, Peoria, IL 61614-5016 | 2006-07-04 |
| 1396780292 | Siebert Moazzam P C | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 401 Main Street, Suite 1200, Peoria, IL 61602-1242 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205363041 | Sachowdhry | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 S Summit Ave, Oakbrook Terrace, IL 60181-2212 | 2017-05-11 |
| 1760930028 | Hiroto Kitahara | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5841 S. Maryland Avenue M/c6040, Chicago, IL 60637 | 2016-09-15 |
| 1720440282 | Azad Karim | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 441 E Erie St Apt 1803441, Chicago, IL 60611-4446 | 2016-03-24 |
| 1982002838 | Milton Weinberg Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 983 Kirkhill Ln, Lake Forest, IL 60045-4209 | 2014-12-09 |
| 1235557190 | Bartlomiej Imielski | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 201 E. Huron St., Galter 11-140, Chicago, IL 60611 | 2014-03-28 |
| 1841635869 | Aaron Maxwell Kime | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 133 E Brush Hill Rd Ste 200, Elmhurst, IL 60126-5661 | 2013-05-03 |
| 1952744823 | Walter Lee Barker | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2912 N. Commonwealth Ave., #11c, Chicago, IL 60657-6235 | 2013-04-10 |
| 1952641649 | Willard A Fry | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1500 Sheridan Rd, #10e, Wilmette, IL 60091-1873 | 2013-02-18 |
| 1487903092 | Horizons In Healthcare LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 372 Red Bud Ct., Frankfort, IL 60423-2128 | 2012-08-29 |
| 1518215284 | Paul Naffah | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6161 So County Line Rd, Burr Ridge, IL 60527 | 2012-08-28 |
| 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.