RANDALL WILLIAMS


Address: 4021 Avenue B, Scottsbluff, NE 69361-4602
Phone: 3086301919

RANDALL WILLIAMS (NPI# 1538170238) 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) 1538170238
Entity Type Individual
Full Name RANDALL WILLIAMS
Credential MD
Practice Address 4021 Avenue B
Scottsbluff
NE 69361-4602
Mailing Address Po Box 1886
Scottsbluff
NE 69361-1886
Practice Telephone 3086301919
Mailing Telephone 3086301919
Enumeration Date 2006-08-10
Last Update Date 2007-11-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
39753 CO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NE BLUE CROSS 30773 01
NE RAILROAD MEDICARE P00386100 01

Other Providers RANDALL WILLIAMS

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1245769728 Randall R Williams Physical Therapist 6913 Camp Bowie Blvd Suite 141, Fort Worth, TX 76116 2017-06-08
1669521605 Randall Williams Chiropractor 3000 Ivanrest Ave Sw, Suite D, Grandville, MI 49418-2943 2007-01-09
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1528505864 Randall Williams Emergency Medical Technician, Basic Madigan Army Medical Ctr, 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431-1100 2017-01-25
1013380013 Randall Williams Physician Assistant 8060 Wolf River Blvd, Germantown, TN 38138-1727 2015-11-12
1649653171 Randall Williams Community Health Worker 1825 Gilmore Ave, Lakeland, FL 33805-3017 2015-07-01
1700950516 Randall Edward Williams Dentist 800 Wall St, Suite C, Valparaiso, IN 46383-2564 2006-11-20
1518076660 Randall P Williams Specialist 146 Medical Park Rd Ste 108, Mooresville, NC 28117-8529 2006-08-30
1245261114 Randall S Williams General Practice 1040 Mangrove Ave, Chico, CA 95926-3509 2006-07-06
1720030646 Randall Earl Williams Internal Medicine 27750 W Highway 22, Suite 240, Barrington, IL 60010-2379 2006-05-17

Office Location

Street Address 4021 AVENUE B
City SCOTTSBLUFF
State NE
Zip Code 69361-4602

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700887783 Ronald R Bahnsen Pharmacist 4021 Avenue B, Pharmacy Department, Scottsbluff, NE 69361-4602 2005-08-02
1598372328 Abbie Lynn Fulk Nurse Practitioner 4021 Avenue B, Scottsbluff, NE 69361-4602 2020-09-25
1578187670 Northstar Anesthesia of Nebraska LLC Nurse Anesthetist, Certified Registered 4021 Avenue B, Scottsbluff, NE 69361-4602 2020-06-04
1386279081 Jared Dean Workman Nurse Anesthetist, Certified Registered 4021 Avenue B, Scottsbluff, NE 69361-4602 2020-03-03
1427542737 Karen Lee Wineteer Registered Nurse 4021 Avenue B, Scottsbluff, NE 69361 2018-06-20
1891204624 Laura Elizabeth Perry Nurse Practitioner 4021 Avenue B, Scottsbluff, NE 69361-4602 2017-09-25
1699296343 Meghan Blaylock Nurse Practitioner 4021 Avenue B, Scottsbluff, NE 69361-4602 2017-07-03
1932630407 Leslie Ann Miller Nurse Anesthetist, Certified Registered 4021 Avenue B, Scottsbluff, NE 69361-4602 2017-03-25
1720431646 Kristin Ferguson Nurse Practitioner 4021 Avenue B, Scottsbluff, NE 69361-4602 2016-07-15
1841649969 Jessica Rae Slaght-langworthy Nurse Anesthetist, Certified Registered 4021 Avenue B, Scottsbluff, NE 69361 2016-06-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710592803 Sara Lynn Luehrs Counselor Westmoor Elementary, Scottsbluff Public Schools, 1722 Avenue K, Scottsbluff, NE 69361 2020-09-15
1467924076 Kelly Jean Betts Nurse Practitioner 1601 W. 27th St., Wncc Harms Building, Scottsbluff, NE 69361 2018-12-20
1952824716 Ellen Otto Nurse Practitioner 3210 Ave B, Suite B Quick Care, Scottsbluff, NE 69361 2017-07-24
1518379593 Suzanne Poynter Counselor 14 West 27th, Suite 26, Scottsbluff, NE 69361 2014-05-27
1770834970 Gabrielle K Mickelson Dental Hygienist 204 W 36th St, Scottsbluff, NE 69361 2012-09-27
1225393390 Brittany R Eirich Internal Medicine 3911 Ave B Ste #1100, Scottsbluff, NE 69361 2012-07-05
1548560584 Western Plains Psychology P.C. Psychologist 3911 Ave B, Suite 3400, South Plaza, Scottsbluff, NE 69361 2010-10-25
1033340146 Bluffs Health Care Clinic Physician Assistant 914 W 36th Str, Scottsbluff, NE 69361 2009-08-06
1598972994 Panhandle Mental Health Center Case Management 410 South Beltline, Suite 3, Scottsbluff, NE 69361 2007-05-16
1821201294 Kay C. Gamet Social Worker 4410 Ave D, Scottsbluff, NE 69361 2007-05-08
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Taxonomy Information

Taxonomy Code 207ZP0102X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology & Clinical Pathology

Taxonomy Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003827080 Richard J Simmons Pathology 4021 Avenue B, Scottsbluff, NE 69361-4602 2006-08-11
1194749077 Cris J. Anderson Pathology 4021 Avenue B, Scottsbluff, NE 69361-4602 2006-07-26
1518981695 Peter W. Schilke Pathology 4021 Avenue B, Scottsbluff, NE 69361-4602 2006-07-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1437793775 Integrated Diagnostics LLC Pathology 201 E 4th St Ste 203, South Sioux City, NE 68776-1706 2019-10-30
1437704251 Integrated Diagnostics Pathology 201 East 4th Street, Suite 203, South Sioux City, NE 68776 2019-08-08
1083275143 Changzhao Li Pathology 7710 Mercy Road Suite 202-cu Department of Pathology, Omaha, NE 68124-2353 2019-06-27
1518482629 Robert Elmore Pathology 7710 Mercy Road, Suite 202 - Cu Dept of Pathology, Omaha, NE 68106 2017-08-09
1720493380 Sahara Cathcart Pathology Department of Pathology and Microbiology, 983135 Nebraska Medical Center, Omaha, NE 68198-3135 2014-06-23
1962757997 Liyan Xu Pathology 601 N 30th Ste 1609, Omaha, NE 68131-2137 2012-07-16
1629365507 Whitney R Wedel Pathology 3005 Harney St, Apt B2, Omaha, NE 68131-3538 2011-06-29
1710164074 Manjiri S Lele Pathology 4545 R Street, Lincoln, NE 68503-3799 2008-01-29
1316144611 Scott Alan Koepsell Pathology Unmc-pathology, 983135 Nmc, Omaha, NE 68198-3135 2007-06-29
1255538674 Justin Dean Misko Pathology 983135 Nebraska Medical Ctr, Omaha, NE 68198-3135 2007-06-29
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Competitor

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City SCOTTSBLUFF
Zip Code 69361

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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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