DR. MARK WAYNE WILLIAMS SR.


Address: 530 Park Ave E Ste 303, Princeton, IL 61356-3903
Phone: 8158729491

DR. MARK WAYNE WILLIAMS SR. (NPI# 1417986001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417986001
Entity Type Individual
Full Name DR. MARK WAYNE WILLIAMS SR.
Credential MD, PHD
Practice Address 530 Park Ave E Ste 303
Princeton
IL 61356-3903
Mailing Address 530 Park Ave E
Princeton
IL 61356
Practice Telephone 8158729491
Practice Fax Number 8158754060
Mailing Telephone 8158762293
Enumeration Date 2006-07-03
Last Update Date 2020-10-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery TL25609 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036116745 05

Other Providers MARK WILLIAMS

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1841590361 Mark Lee Williams Chiropractor 1786 N Mills Ave, Orlando, FL 32803-1852 2010-11-01
1396075214 Mark S. Williams Dentist 673 Exton Cmns, Exton, PA 19341-2446 2009-12-29
1144455684 Mark X. Williams Ambulance 6576 Pine Top Cir S, Memphis, TN 38141-7800 2009-05-28
1861649642 Mark Edwin Williams Physician Assistant 9714 Healthway Dr # Drl, Berlin, MD 21811-1154 2008-08-22
1578723342 Mark Thomas Williams Dentist 14815 Highland Dr, Mc Kenzie, TN 38201-6228 2008-06-14
1255511515 Mark Williams Pharmacist 1744 Bard Ln, East Meadow, NY 11554-1506 2007-11-05
1104039379 Mark Thomas Williams Psychologist 1615 Haslett Rd, Williamston, MI 48895-9498 2007-05-07
1538291737 Mark Thomas Williams Chiropractor 1219 Watervliet Ave, Dayton, OH 45420-2705 2007-03-12

Office Location

Street Address 530 PARK AVE E STE 303
City PRINCETON
State IL
Zip Code 61356-3903

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952877243 Julia Rackley Perry Memorial Hospital Clinic/Center 530 Park Ave E Ste 303, Princeton, IL 61356-3903 2018-10-15
1124470745 Amanda Mcguire Podiatrist 530 Park Ave E Ste 303, Princeton, IL 61356-3903 2016-07-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548698558 Shelley Gorenz Counselor 1009 S. Main St., Princeton, IL 61356 2013-10-30
1780016626 Jennifer Phillips Pharmacist 610 N. Main St., Princeton, IL 61356 2013-08-02
1477848521 Princeton Prompt Care LLC Clinic/Center 2128 North Main Street, Princeton, IL 61356 2011-06-16
1306014196 Lifefit Physical Rehab, Ltd. Clinic/Center 1225 N. Sixth St., Princeton, IL 61356 2008-02-14
1568669778 Hawthorne Inn Supportive Living Facility Assisted Living Facility 136 N. Sixth St., Princeton, IL 61356 2007-06-29
1720209240 Michelle Lee Mortensen Music Therapist 816 S. First St., Princeton, IL 61356 2007-05-01
1073733465 Jarred Allen Farrell Chiropractor 682 East Peru Street, Princeton, IL 61356 2007-04-26
1952488397 Donald R Marion Optometrist 2 Park Avenue West, Princeton, IL 61356 2006-11-01
1427138247 Bruce Waldo Shriver Dentist 422 E Peru St, Princeton, IL 61356 2006-10-16
1871689612 Jason A Monroe Dentist 334 Backbone Rd East, Princeton, IL 61356 2006-10-05
Find all providers in zip 61356

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578083051 Julia Rackley Perry Memorial Hospital Surgery 530 Park Ave E Ste 205, Princeton, IL 61356-3902 2017-06-26
1548598329 William Parnelle Burks Surgery 1330 The Great Rd., Princeton, NJ 08540 2009-12-07
1649342031 Princeton Surgical Group Inc Surgery 508 New Hope Rd Ste 106, Princeton, WV 24740-2265 2006-11-14
1225109002 Generoso D Duremdes Surgery 100 New Hope Rd Ste 106, Princeton, WV 24740-2143 2006-11-13
1093802217 Dr. Carl Hinton, M.d., P.s.c. Surgery 407 Us Highway 62 W, Princeton, KY 42445-2409 2006-10-09
1649382227 Eric Shane Hopkins Surgery 201 12th St Extension, Princeton, WV 24740-0201 2006-08-31
1568406726 Izhar A Rana Surgery 100 Newhope Rd, Suite 208, Princeton, WV 24740 2006-06-16
1386610095 Carl B Hinton Surgery 323 S Jefferson St, Princeton, KY 42445-2100 2006-02-23
1841262086 M. Hytham Beck Surgery 121 N Hart St, Princeton, IN 47670-1045 2006-02-02
1063775260 Robert K Brownawell Surgery 919 Northland Dr, Princeton, MN 55371-2172 2012-06-21
Find all providers in PRINCETON

Competitor

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City PRINCETON
Zip Code 61356

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Dataset Information

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.

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