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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | TL25609 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036116745 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275133340 | Mark Alan Williams | Physician Assistant | 4814 Lake Livingston Dr, Corpus Christi, TX 78413-5139 | 2020-10-28 |
1427435858 | Mark Williams | Physical Therapy Assistant | 1160 Woodwind Dr, Talbott, TN 37877-8357 | 2015-05-06 |
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 |
Street Address |
530 PARK AVE E STE 303 |
City | PRINCETON |
State | IL |
Zip Code | 61356-3903 |
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 |
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 Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
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. |
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 |
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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.