MS. ETHELYN WILLIAMS-NEAL (NPI# 1356409049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356409049 |
| Entity Type | Individual |
| Full Name | MS. ETHELYN WILLIAMS-NEAL |
| Credential | M.D. |
| Practice Address |
1407 Union Ave Suite 305 Memphis TN 38104-3627 |
| Practice Telephone | 9017261762 |
| Practice Fax Number | 9012743475 |
| Mailing Telephone | 9017261762 |
| Mailing Fax Number | 9012743475 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2011-06-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | 0000009013 | TN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3162905 | 05 |
| Street Address |
1407 UNION AVE SUITE 305 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-3627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962460998 | Michael C Mcconnell | Nurse Anesthetist, Certified Registered | 1407 Union Ave, Suite 200, Memphis, TN 38104-3600 | 2006-05-01 |
| 1649779760 | Kristen Davenport Locke | Nurse Practitioner | 1407 Union Ave, Memphis, TN 38104-3627 | 2018-02-04 |
| 1346769866 | Memphis Health & Wellness | Nurse Practitioner | 1407 Union Ave, Suite 107, Memphis, TN 38104 | 2017-09-15 |
| 1306206529 | Victoria Traylor | Counselor | 1407 Union Ave, Suite 100, Memphis, TN 38104-3627 | 2016-03-01 |
| 1841659232 | Omni Community Health | Clinic/Center | 1407 Union Ave, Suite 100, Memphis, TN 38104-3627 | 2016-02-15 |
| 1316320880 | Omni Community Health | Community/Behavioral Health | 1407 Union Ave, Suite 815, Memphis, TN 38104-3679 | 2015-07-02 |
| 1326436452 | Memphis Vamc | Clinic/Center | 1407 Union Ave, 11th Floor, Memphis, TN 38104-3627 | 2014-12-23 |
| 1962839324 | Heather L Gammel | Psychologist | 1407 Union Ave, Memphis, TN 38104-3627 | 2013-10-01 |
| 1235482522 | Allison Thornell West | General Acute Care Hospital | 1407 Union Ave, Memphis, TN 38104-3627 | 2012-10-24 |
| 1700185089 | Sanjaya Kumar Satapathy | Internal Medicine | 1407 Union Ave, Suite 640, Memphis, TN 38104-3627 | 2011-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| Taxonomy Code | 170100000X |
| Grouping | Other Service Providers |
| Classification | Medical Genetics, Ph.D. Medical Genetics |
| A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
| Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124175542 | David L Smith | Medical Genetics, Ph.D. Medical Genetics | 4321 Fayette Rd, Memphis, TN 38128-5723 | 2007-01-05 |
| 1154373330 | Bowden Internal Medicine | Medical Genetics, Ph.D. Medical Genetics | 1652 Madison Ave, Memphis, TN 38104-2508 | 2006-05-16 |
| 1104040229 | Bowden Internal Medicine,pllc | Medical Genetics, Ph.D. Medical Genetics | 1652 Madison Ave, Memphis, TN 38104-2508 | 2007-04-12 |
| 1538172309 | Dynamic Directions Internal Medicine, PC | Medical Genetics, Ph.D. Medical Genetics | 7655 Poplar Ave, #350, Memphis, TN 38138-3957 | 2006-08-14 |
| 1316961931 | Metro Memphis Medical Specialist, Inc. | Medical Genetics, Ph.D. Medical Genetics | 3960 Knight Arnold Rd, #420, Memphis, TN 38118-3035 | 2006-07-27 |
| 1083641252 | Marcia R Bowden | Medical Genetics, Ph.D. Medical Genetics | 1652 Madison Ave, Memphis, TN 38104-2508 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265683783 | Cindy Vnencak-jones | Medical Genetics, Ph.D. Medical Genetics | 4918c Tvc, Vanderbilt University Medical Center, Nashville, TN 37232-5310 | 2008-10-02 |
| 1518037183 | University of Tennessee | Medical Genetics, Ph.D. Medical Genetics | 1930 Alcoa Hwy Ste 435, Ut Genetics Center, Knoxville, TN 37920-1520 | 2006-11-09 |
| 1427151406 | Pigeon Forge Medical Clinic | Medical Genetics, Ph.D. Medical Genetics | 3342 Parkway, Pigeon Forge, TN 37863-3423 | 2006-09-06 |
| 1518971951 | Family Medical Group | Medical Genetics, Ph.D. Medical Genetics | 126 East Highway 72, Collierville, TN 38017-2943 | 2006-07-29 |
| 1720013089 | Jeffrey Karl Moore Sr. | Medical Genetics, Ph.D. Medical Genetics | 514 Fisk St, Nashville, TN 37203-2846 | 2006-07-12 |
| 1285974998 | Xiaoxiang Zhang | Medical Genetics, Ph.D. Medical Genetics | 201 Summit View Dr, Suite 301, Brentwood, TN 37027-4645 | 2013-02-18 |
| 1518155407 | Ashwini K Yenamandra | Medical Genetics, Ph.D. Medical Genetics | 3601 Tvc, Nashville, TN 37232-0001 | 2007-10-04 |
| 1205905304 | Ronald Mcdow | Medical Genetics, Ph.D. Medical Genetics | 4126 Nolensville Pike, Nashville, TN 37211-4717 | 2006-11-06 |
| 1780774570 | Robert Edmund Walter | Medical Genetics, Ph.D. Medical Genetics | 1505 W Elk Ave, Suite 2, Elizabethton, TN 37643-2848 | 2006-10-13 |
| 1124118971 | Jerry L Gastineau | Medical Genetics, Ph.D. Medical Genetics | 1505 W Elk Ave, Suite 2, Elizabethton, TN 37643-2848 | 2006-10-13 |
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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.