DR DAVE WILLIAMS (NPI# 1336688753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336688753 |
| Entity Type | Organization |
| Organization Name | DR DAVE WILLIAMS |
| Practice Address |
4503 Blue Grass Ct Mansfield TX 76063-1877 |
| Practice Telephone | 8176486999 |
| Practice Fax Number | 8173941970 |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-02-17 |
| Authorized Official Name | DR. DAVE WILLIAMS (OWNER) |
| Authorized Official Telephone | 8176486999 |
| Authorized Official Credential | PHD, CSCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 901420 | TX | Other Service Providers |
| Street Address |
4503 BLUE GRASS CT |
| City | MANSFIELD |
| State | TX |
| Zip Code | 76063-1877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518494723 | Mansfield Orthopedic Associates | Specialist | 4503 Blue Grass Ct, Mansfield, TX 76063-1877 | 2017-05-18 |
| 1396266458 | Kst | Specialist | 4503 Blue Grass Ct, Mansfield, TX 76063-1877 | 2017-06-29 |
| 1427584796 | Mta | Specialist | 4503 Blue Grass Ct, Mansfield, TX 76063-1877 | 2017-05-05 |
| 1659805935 | Dr David R Williams | Specialist | 4503 Blue Grass Ct, Mansfield, TX 76063-1877 | 2017-04-13 |
| 1699210658 | Ksol | Specialist | 4503 Blue Grass Ct, Mansfield, TX 76063-1877 | 2016-12-30 |
| 1629513114 | Ksob | Physical Medicine & Rehabilitation | 4503 Blue Grass Ct, Mansfield, TX 76063 | 2016-12-20 |
| 1710421219 | Ksom | Physical Medicine & Rehabilitation | 4503 Blue Grass Ct, Mansfield, TX 76063 | 2016-12-19 |
| 1366986853 | Ksol | Physical Medicine & Rehabilitation | 4503 Blue Grass Ct, Mansfield, TX 76063 | 2016-12-19 |
| 1033654587 | Kinesiology Specialists of Dallas | Physical Medicine & Rehabilitation | 4503 Blue Grass Ct, Mansfield, TX 76063 | 2016-12-19 |
| 1104361658 | Ksoh | Physical Medicine & Rehabilitation | 4503 Blue Grass Ct, Mansfield, TX 76063 | 2016-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
| 1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
| 1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
| 1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
| 1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
| 1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
| 1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
| 1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
| 1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
| 1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
| Find all providers in zip 76063 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518494723 | Mansfield Orthopedic Associates | Specialist | 4503 Blue Grass Ct, Mansfield, TX 76063-1877 | 2017-05-18 |
| 1740681030 | Amy Burns | Specialist | 1291 Lexwood Rd, Mansfield, OH 44907-2923 | 2014-09-06 |
| 1376844456 | Mark A. Bishara, Md, Pa | Specialist | 550 N Walnut Creek Dr, Suite 120, Mansfield, TX 76063-3223 | 2010-11-05 |
| 1871820423 | Breast Diagnostics, Pa | Specialist | 1750 Broad Park Cir S, Suite 300, Mansfield, TX 76063-7822 | 2009-11-03 |
| 1730335076 | David R Williams | Specialist | 1020 Chasemore Ct, Mansfield, TX 76063-2654 | 2008-08-18 |
| 1720259104 | Mid-ohio Neurosurgical Care, Inc. | Specialist | 39 Wood St, Mansfield, OH 44903-2210 | 2008-03-13 |
| 1447378567 | Columbus Physician Resources Inc | Specialist | 380 Cline Ave Ste 1, Mansfield, OH 44907-1056 | 2007-03-27 |
| 1942394309 | Eye Surgery Consultants Inc. | Specialist | 240 West Cook Road, Mansfield, OH 44907 | 2006-10-02 |
| 1124128491 | Alfred Granson Jr. | Specialist | 70 Madison Rd, Mansfield, OH 44905-2831 | 2006-09-25 |
| 1982623583 | Charles H Shaw | Specialist | 370 Cline Avenue, Mansfield, OH 44907 | 2006-07-18 |
| Find all providers in MANSFIELD | ||||
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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.