MR. MICHAEL DWAYNE WILLIAMS (NPI# 1336234400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336234400 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL DWAYNE WILLIAMS |
| Credential | P.A |
| Practice Address |
1481 W 10th St Rlr Vamc Indianapolis IN 46202-2803 |
| Practice Telephone | 3175540000 |
| Practice Fax Number | 3179982422 |
| Mailing Telephone | 3175540000 |
| Mailing Fax Number | 3179982422 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0 | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265056006 | Michael Andrew Williams | Physical Therapist | 11165 Caminito Vista Serena, San Diego, CA 92131-3304 | 2020-06-07 |
| 1629691159 | Michael Leon Williams | Psychologist | 2901 Troost Ave # 64109, Kansas City, MO 64109-1538 | 2020-05-19 |
| 1093345241 | Michael R. Williams | Social Worker | 304 Laurel Rise Ln, Columbia, SC 29229-7403 | 2020-01-16 |
| 1437796836 | Michael Ray Williams | Psychologist | 3319 N University Ave Ste 100, Provo, UT 84604-4447 | 2019-12-04 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1992231633 | Michael Williams | Contractor | 8590 Production Ave, Suite B, San Diego, CA 92121-2281 | 2017-05-01 |
| 1043750227 | Michael Xavier Williams | Student in an Organized Health Care Education/Training Program | 848 Keystone Way, Newport, PA 17074 | 2017-03-07 |
| 1215489893 | Michael T. Williams Jr. | Private Vehicle | 8 Milliner St, Rochester, NY 14611-1112 | 2016-10-28 |
| 1326407115 | Michael Williams | Chore Provider | 20452 Sunbright Ln, Germantown, MD 20874-1088 | 2016-02-22 |
| 1013382670 | Michael V Williams Jr. | Counselor | 3110 Clay St, Columbus, GA 31903-1926 | 2015-12-08 |
| Street Address |
1481 W 10TH ST RLR VAMC |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-2803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346244258 | Mildred Sue Mcmanus | Nurse Practitioner | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2005-06-08 |
| 1174124002 | Syreeta Diane Adams | Social Worker | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-11-06 |
| 1083214126 | Angela Marie Whereatt | Social Worker | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-10-28 |
| 1679173132 | Jennifer Smith | Social Worker | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-10-26 |
| 1043817745 | Leah Whitmire | Music Therapist | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-10-06 |
| 1831705730 | Lynnette Rosa Biviano | Social Worker | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-09-17 |
| 1881208114 | Jessica Lee Fromm | Social Worker | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-09-03 |
| 1770193104 | Jordan Kirk Trively | Pharmacist | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-07-31 |
| 1942819263 | Vanessa Marie Street | Nurse Practitioner | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-07-23 |
| 1831717248 | Allissa Long | Pharmacist | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760947329 | Ellen M Randall | Physician Assistant | 705 Riley Hospital Dr Ste 2514, Indianapolis, IN 46202-5109 | 2019-02-07 |
| 1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
| 1912963620 | Kimberly D Hand | Physician Assistant | 8141 South Emerson Ave, Suite A, Indianapolis, IN 46237 | 2006-04-21 |
| 1447212162 | Jennifer S. Rothenberger | Physician Assistant | 8333 Naab Rd Ste 250, Indianapolis, IN 46260 | 2006-04-06 |
| 1235129909 | Megan Lynn Chojnacki | Physician Assistant | 8501 Harcourt Rd, Indianapolis, IN 46260-2046 | 2005-10-25 |
| 1922005289 | Angela Kaye Unfried | Physician Assistant | 8075 N Shadeland Ave, Suite 120, Indianapolis, IN 46250-2693 | 2005-07-01 |
| 1407495906 | Rachel C Ehrman | Physician Assistant | 7250 Clearvista Dr Ste 100, Indianapolis, IN 46256-4640 | 2019-12-31 |
| 1922659226 | Taylor Ann Smith | Physician Assistant | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2019-09-27 |
| 1790261576 | Kristiana Michelle Sannella | Physician Assistant | 10590 N Meridian St # 105, Indianapolis, IN 46290 | 2018-07-16 |
| 1093201048 | Brooke Michele Stein | Physician Assistant | 10590 N Meridian St Ste 105, Indianapolis, IN 46290-1028 | 2018-07-02 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
Please comment or provide details below to improve the information on MR. MICHAEL DWAYNE WILLIAMS.
| 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.