SCOTT SHIELDS WILLIAMS (NPI# 1407816341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407816341 |
| Entity Type | Individual |
| Full Name | SCOTT SHIELDS WILLIAMS |
| Credential | MD |
| Practice Address |
1520 S Dobson Rd Suite 304 Mesa AZ 85202 |
| Mailing Address |
6622 N 91st Ave Ste 220 Glendale AZ 85305-2569 |
| Practice Telephone | 4808990767 |
| Practice Fax Number | 4808991145 |
| Mailing Telephone | 6027596883 |
| Mailing Fax Number | 6022243358 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2018-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
52243 | AZ | Allopathic & Osteopathic Physicians |
| N | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
MD.203262 | LA | Allopathic & Osteopathic Physicians |
| N | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
M0971 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 148504 | 05 | |
| LA | 1755095 | 05 | |
| TX | 173607601 | 05 | |
| MS | 02822278 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144622325 | Scott Murdock Williams | Marriage & Family Therapist | 9335 Reseda Blvd Ste 700, Northridge, CA 91324-2981 | 2014-09-19 |
| 1699012310 | Scott C Williams | Pharmacist | 22855 N.e. Parklane, Wood Village, OR 97060 | 2013-01-15 |
| 1275826687 | Scott Adam Williams | Specialist | 2440 Kendall St, Edgewater, CO 80214-1046 | 2011-05-17 |
| 1205081015 | Scott Lane Williams | Surgery | 1177 22nd St Nw, Unit 4d, Washington, DC 20037-1252 | 2008-11-20 |
| 1629230677 | Scott Edward Williams | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 101 Dayspring Dr, Columbia, MO 65203-0285 | 2008-07-01 |
| 1629284963 | Scott W Williams | Counselor | 1077 W State St, Alliance, OH 44601-4621 | 2007-05-15 |
| 1831241819 | Scott Dean Williams | Pediatrics | 6895 Union Park Ctr., Ste. 500, Salt Lake City, UT 84047 | 2007-01-18 |
| 1891861803 | Scott Timothy Williams | Optometrist | 1405 E Tyler Street, Suite 100, Athens, TX 75751-2724 | 2006-11-28 |
| 1336232982 | Scott A.d. Williams | Dentist | 1020 S 40th Ave, Suite F, Yakima, WA 98908-3800 | 2006-10-02 |
| 1134130495 | Scott Monroe Williams | Dentist | 113 E University Ave, Georgetown, TX 78626-6828 | 2006-08-11 |
| Street Address |
1520 S DOBSON RD SUITE 304 |
| City | MESA |
| State | AZ |
| Zip Code | 85202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790789725 | Giridhari L Bansal | Pediatrics | 1520 S Dobson Rd, Ste 205, Mesa, AZ 85202-4726 | 2005-06-08 |
| 1689129769 | Svetlana Pedenko Md PC | Internal Medicine | 1520 S Dobson Rd, Suite 307, Mesa, AZ 85202-4725 | 2016-08-18 |
| 1801245154 | Megan Milleen Smith | Nurse Practitioner | 1520 S Dobson Rd, Ste #203, Mesa, AZ 85202-4725 | 2016-06-07 |
| 1023476819 | Alisha Zimmer | Nurse Practitioner | 1520 S Dobson Rd, Suite 209, Mesa, AZ 85202-4725 | 2016-02-08 |
| 1043645617 | Kevin M Warren | Physician Assistant | 1520 S Dobson Rd, Suite 203, Mesa, AZ 85202-4725 | 2013-09-13 |
| 1093149692 | Kevin Warren | General Acute Care Hospital | 1520 S Dobson Rd, Suite 203, Mesa, AZ 85202-4725 | 2013-08-30 |
| 1104267780 | Jacob H Nelson | Podiatrist | 1520 S Dobson Rd, Suite 307, Mesa, AZ 85202-4725 | 2013-07-11 |
| 1730462235 | Tamar K Gottfried Md, Plc | Clinic/Center | 1520 S Dobson Rd, Suite 316, Mesa, AZ 85202-4725 | 2011-09-21 |
| 1871875047 | Az Obstetrics & Gynecology, LLC | Clinic/Center | 1520 S Dobson Rd, Suite 316, Mesa, AZ 85202-4725 | 2011-09-14 |
| 1164721742 | Jigar Maheshkumar Rathod | Psychiatry & Neurology | 1520 S Dobson Rd, Ste 203, Mesa, AZ 85202-4725 | 2011-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588692479 | Ijaz Ali | Internal Medicine | 612 W Baseline Rd, Mesa, AZ 85210-6041 | 2006-06-29 |
| 1982670139 | Ameesh K Garg | Internal Medicine | 6553 E Baywood Ave Ste 205, Mesa, AZ 85206 | 2006-02-27 |
| 1326034810 | Syed K Masood | Internal Medicine | 215 S Power Rd Ste 104, Mesa, AZ 85206-5236 | 2005-09-21 |
| 1043205511 | Kenneth R Boren | Internal Medicine | 4040 E Mclellan Rd Unit 11, Mesa, AZ 85205-3105 | 2005-09-12 |
| 1306830229 | Fredrick V Osorio | Internal Medicine | 301 S Power Rd Ste 103, Mesa, AZ 85206-5243 | 2005-09-07 |
| 1942293527 | Manuel Abrante | Internal Medicine | 301 S Power Rd, Suite 103, Mesa, AZ 85206-5241 | 2005-08-29 |
| 1336686187 | Valley Kidney Corp | Internal Medicine | 612 W Baseline Rd, Mesa, AZ 85210-6041 | 2017-01-31 |
| 1316481906 | Akdhc, LLC | Internal Medicine | 6553 E Baywood Ave Ste 205, Mesa, AZ 85206-1754 | 2016-12-15 |
| 1548674062 | Akdhc, LLC | Internal Medicine | 1520 S Dobson Rd Ste 304, Mesa, AZ 85202-4727 | 2014-06-12 |
| 1033543749 | Akdhc, LLC | Internal Medicine | 10238 E Hampton Ave, Suite 504, Mesa, AZ 85209-3316 | 2013-08-29 |
| Find all providers in MESA | ||||
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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.