DR. MATTHEW E WILLIAMSON (NPI# 1467428540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467428540 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW E WILLIAMSON |
| Credential | D.O. |
| Practice Address |
777 Hospital Way Bldg B Pocatello ID 83201-5175 |
| Mailing Address |
2265 E Sunnyside Rd Idaho Falls ID 83404-7598 |
| Practice Telephone | 2082391000 |
| Mailing Telephone | 2085425000 |
| Mailing Fax Number | 2085425151 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2018-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
O-334 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 807225800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386251858 | Matthew Williamson | Technician | 2540 Billingsley Rd, Columbus, OH 43235-1990 | 2020-09-28 |
| 1851805733 | Matthew Wayne Williamson | Nurse Practitioner | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2017-11-29 |
| 1487069100 | Matthew Williamson | Podiatrist | 1150 N 83rd St, Lincoln, NE 68505-2094 | 2014-06-23 |
| 1245523158 | Matthew Williamson | Massage Therapist | 730 Cleveland Ave S, Saint Paul, MN 55116-1345 | 2011-05-25 |
| 1386805166 | Matthew Williamson | Counselor | 12021 Wilmington Ave Lot C, Los Angeles, CA 90059-3019 | 2008-06-24 |
| 1932161296 | Matthew Allen Williamson | Pharmacy Technician | 1300 Stedman St, Ketchikan, AK 99901-6661 | 2006-04-03 |
| 1831173111 | Matthew Aaron Williamson | Clinical Nurse Specialist | 825 Delbon Ave, Turlock, CA 95382-2016 | 2005-12-01 |
| Street Address |
777 HOSPITAL WAY BLDG B |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-5175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104825892 | Gregory S Harrison | Neurological Surgery | 777 Hospital Way, Suite 115, Pocatello, ID 83201-5175 | 2005-07-15 |
| 1801401344 | Sunny Blue Alene Nelson | Physician Assistant | 777 Hospital Way, Pocatello, ID 83201-5175 | 2020-09-11 |
| 1316570757 | Mark Alan Pendleton | Nurse Anesthetist, Certified Registered | 777 Hospital Way, Pocatello, ID 83201-5175 | 2020-02-13 |
| 1508413220 | Hilary Worthen | Specialist/Technologist | 777 Hospital Way, Pocatello, ID 83201-5175 | 2019-08-19 |
| 1437612447 | Walter S Medlin Md PC | Surgery | 777 Hospital Way, Pocatello, ID 83201-5175 | 2019-04-08 |
| 1396203428 | Amber Frost | Family Medicine | 777 Hospital Way, Pocatello, ID 83201-5175 | 2019-03-07 |
| 1649756404 | Kamilla Gundersen | Nurse Practitioner | 777 Hospital Way, Pocatello, ID 83207 | 2018-07-16 |
| 1043716285 | Brice Anderson | Specialist/Technologist | 777 Hospital Way, Pocatello, ID 83201-5175 | 2018-04-05 |
| 1851808133 | Rocky Mountain Physician Group LLC | Emergency Medicine | 777 Hospital Way, Pocatello, ID 83201-5175 | 2018-01-08 |
| 1154838886 | Mark Willis | Nurse Practitioner | 777 Hospital Way, Pocatello, ID 83201-5175 | 2018-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972709590 | Stephen Arthur Sherman | Radiology | 4685 Flora Dr, Pocatello, ID 83204-4568 | 2007-06-21 |
| 1730218694 | Diagnostic Radiologists of South Florida, P.a. | Radiology | 2486 Cimmaron Cir, Pocatello, ID 83204-7346 | 2007-03-05 |
| 1770698482 | Idaho Medical Imaging, LLC | Radiology | 444 Hospital Way Ste 611, Pocatello, ID 83201-2744 | 2006-08-20 |
| 1952377459 | Radiology Physicians of Idaho | Radiology | 1151 Hospital Way Bldg B, Pocatello, ID 83201 | 2006-02-24 |
| 1104188879 | Artur Narkiewicz-jodko | Radiology | 777 Hospital Way, Pocatello, ID 83201 | 2012-06-08 |
| 1891929519 | Jared Bailey | Radiology | 777 Hospital Way, Pocatello, ID 83201-5175 | 2009-05-09 |
| 1336309756 | Nicholas S Pierson | Radiology | 777 Hospital Way, Pocatello, ID 83201-5175 | 2008-06-10 |
| 1508953555 | Steven Allen Larsen | Radiology | 777 Hospital Way, Bldg B, Pocatello, ID 83201-5175 | 2006-10-09 |
| 1518905413 | David M Madden | Radiology | 777 Hospital Way, Suite 215, Pocatello, ID 83201-5162 | 2006-06-03 |
| 1386610442 | David M Cameron | Radiology | 777 Hospital Way, Bldg B, Pocatello, ID 83201-2701 | 2006-02-27 |
| Find all providers in POCATELLO | ||||
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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.