ROGER TODD WILLIAMS MD PSC (NPI# 1538118245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538118245 |
| Entity Type | Organization |
| Organization Name | ROGER TODD WILLIAMS MD PSC |
| Other Organization Name | DOCTORS CLINIC |
| Practice Address |
400 N Dixie Hwy Cave City KY 42127-9512 |
| Practice Telephone | 2707733737 |
| Practice Fax Number | 2707733738 |
| Mailing Telephone | 2707733737 |
| Mailing Fax Number | 2707733738 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2008-11-18 |
| Authorized Official Name | DR. ROGER TODD WILLIAMS (OWNER/ PHYSICIAN) |
| Authorized Official Telephone | 2707733737 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 37488 | KY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | BC/BS PIN | 0000000299382 | 01 |
| KY | RAILROAD MEDICARE | DB3991 | 01 |
| KY | 64058233 | 05 |
| Other Name | Type Code |
|---|---|
| Doctors Clinic | Doing Business As Name - Organization |
| Street Address |
400 N DIXIE HWY |
| City | CAVE CITY |
| State | KY |
| Zip Code | 42127-9512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740246354 | Jennifer D. Briggs | Nurse Practitioner | 400 N Dixie Hwy, Cave City, KY 42127-9546 | 2006-04-22 |
| 1699306811 | Mason M. Shives | Nurse Practitioner | 400 N Dixie Hwy, Cave City, KY 42127-9546 | 2020-01-27 |
| 1760770127 | Nexus Lab 2.0 LLC | Clinical Medical Laboratory | 400 N Dixie Hwy, Cave City, KY 42127-9546 | 2011-07-19 |
| 1417266875 | Nexus Lab, Inc. | Clinical Medical Laboratory | 400 N Dixie Hwy, Cave City, KY 42127-9546 | 2010-10-04 |
| 1568402246 | Amy Evans Rutledge | Nurse Practitioner | 400 N Dixie Hwy, Cave City, KY 42127-9546 | 2006-06-08 |
| 1740230366 | Roger Todd Williams | Emergency Medicine | 400 N Dixie Hwy, Cave City, KY 42127-9546 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649743253 | Best Care Medical Clinic, LLC | Nurse Practitioner | 701 S. Dixie Hwy, Cave City, KY 42127 | 2019-01-07 |
| 1306049135 | Beth Gail Sturgeon | Case Manager/Care Coordinator | 1934 Whitney Woods Rd, Cave City, KY 42127 | 2007-06-08 |
| 1336341775 | Latichia Gail Cross | Massage Therapist | 220 Mammoth Cave Street, Cave City, KY 42127 | 2007-06-05 |
| 1578668562 | Sheldon A Ballou | Dentist | 203 S Dixie Hwy, Cave City, KY 42127 | 2006-09-14 |
| 1184668873 | Cave City Prescription Center Inc | Pharmacy | 101 South Dixie Hwy, Cave City, KY 42127 | 2006-06-15 |
| 1194914143 | D.chandra Reddy, Md. Psc | Internal Medicine | 440 E Happy Valley St, Cave City, KY 42127 | 2007-10-16 |
| 1578609566 | Christopher Dale Steward | Dentist | 212 Broadway, Cave City, KY 42127 | 2007-01-29 |
| 1548373277 | Michael G Branstetter | Pharmacist | 101 South Dixie Hwy, Cave City, KY 42127 | 2006-08-16 |
| 1780753780 | Marcus Martin Pedigo | Case Manager/Care Coordinator | 1111 Crestview Drive, Cave City, KY 42127-0000 | 2006-11-06 |
| 1962400432 | Cave City Rx Center | Durable Medical Equipment & Medical Supplies | 101 S Dixie Hwy, Cave City, KY 42127-0596 | 2005-07-08 |
| Find all providers in zip 42127 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1881218121 | Strive Health Ky LLC | Clinic/Center | 4511 Springhill Road, Owensboro, KY 42303 | 2020-06-02 |
| 1346714615 | Good Doctor | Clinic/Center | 9405 Us Highway 235, Stanville, KY 41659-9048 | 2019-01-19 |
| 1083192595 | Carson Black Lung Center of Pineville, Inc. | Clinic/Center | 820 Robert L. Maddon Bypass Third Fl, Pineville, KY 40977-1452 | 2018-08-06 |
| 1730665886 | William Shea | Clinic/Center | 149 Moore Dr, Lexington, KY 40503-2918 | 2018-07-12 |
| 1104317734 | Usimc of West Virginia Medical Corporation | Clinic/Center | 908 W Broadway Fl 8, Louisville, KY 40203 | 2018-05-18 |
| 1245747674 | Phaup Chiropractic Center, LLC | Clinic/Center | 95 Ymca Dr Ste A, Madisonville, KY 42431-9035 | 2018-01-08 |
| 1235644287 | First Care Chiropractic Center Psc | Clinic/Center | 5057 Poplar Level Rd Ste 7, Louisville, KY 40219-1129 | 2017-12-12 |
| 1740717818 | Jones-o'neal Enterprises, Pllc | Clinic/Center | 135 Morgan St, Versailles, KY 40383-1428 | 2017-05-18 |
| 1467993709 | Ky Pt Pllc | Clinic/Center | 5520 Fern Valley Rd Ste 108, Louisville, KY 40228-1088 | 2017-03-20 |
| Find all providers with the same taxonomy | ||||
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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.