TINA MICHELLE WILLIAMS (NPI# 1588671978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588671978 |
| Entity Type | Individual |
| Full Name | TINA MICHELLE WILLIAMS |
| Credential | PA-C |
| Practice Address |
2950 Keewahdin Rd Fort Gratiot MI 48059-3526 |
| Mailing Address |
43151 Dalcoma Dr Ste 4 Clinton Twp MI 48038-6306 |
| Practice Telephone | 8104551600 |
| Practice Fax Number | 8104551620 |
| Mailing Telephone | 5862868720 |
| Mailing Fax Number | 5866496699 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2019-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 5601003406 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393643 | Tina K Williams | Behavior Technician | 189 Village Pass, Statham, GA 30666-1713 | 2019-05-31 |
| 1487172847 | Tina Teresa Williams | Doula | 1416 W 12th St, Frederick, MD 21702-4214 | 2017-09-06 |
| 1376894840 | Tina Michele Williams | Nurse Practitioner | 1520 Slate Creek Rd Suite 205, Grundy, VIRGINIA 24614 | 2012-09-25 |
| 1154659100 | Tina Denise Williams | Nurse Practitioner | 4299 Elvis Presley Blvd Ste 4, Memphis, TN 38116 | 2009-12-03 |
| 1174753750 | Tina Williams | Counselor | 2621 5th Ave, Suite 4, Scottsbluff, NE 69361-1745 | 2009-07-17 |
| 1689795528 | Tina Rene Williams | Social Worker | 318 W Palmer St, Compton, CA 90220-2107 | 2007-04-02 |
| 1386698249 | Tina Marie Williams | Speech-Language Pathologist | 155 Black Plain Rd, Exeter, RI 02822-2108 | 2006-05-22 |
| 1407478795 | Tina Cecelia Williams | Counselor | 199 Herlong Ave S, Rock Hill, SC 29732-1186 | 2020-05-11 |
| 1568022176 | Tina M Williams | Nurse Practitioner | 2079 Forest Ave, Staten Island, NY 10303-1865 | 2019-06-17 |
| 1932661519 | Tina Bailey Williams | Speech-Language Pathologist | 11721 Kemp Mill Rd, Silver Spring, MD 20902-1722 | 2019-04-03 |
| Street Address |
2950 KEEWAHDIN RD |
| City | FORT GRATIOT |
| State | MI |
| Zip Code | 48059-3526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346706405 | Hamzavi Pharmacy, LLC | Pharmacy | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 | 2019-02-13 |
| 1134521107 | Ashley Faye Carriveau | Physician Assistant | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 | 2014-09-22 |
| 1700163672 | Jessica Jeanette Mcleod | Nurse Practitioner | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 | 2011-11-07 |
| 1083736193 | Jennifer Joy Marlin | Physician Assistant | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679096374 | Rebecca Campau | Registered Nurse | 4985 Lakeshore Rd, Fort Gratiot, MI 48059 | 2017-07-25 |
| 1598175481 | David Kelley Sr. | Pharmacist | 4475 24th Ave., Fort Gratiot, MI 48059 | 2014-05-01 |
| 1316110968 | Apheresis and Transfusion Medicine of Port Huron Pllc | Pathology | 4970 Lakeshore Road, Fort Gratiot, MI 48059 | 2008-04-03 |
| 1275754152 | Jennifer Ann Peyerk | Physical Therapist | 3902 Arlington Ave., Fort Gratiot, MI 48059 | 2007-05-01 |
| 1013097278 | Randy John Plonka | Internal Medicine | 5979 Lakeshore, Ft Gratiot, MI 48059 | 2006-10-16 |
| 1881708428 | John Nathan Seppo | Social Worker | 3847 Pine Grove Avenue, Fort Gratiot, MI 48059 | 2006-08-19 |
| 1396756615 | Blue Water Family Dentistry PC | Dentist | 4044 24th Ave, Fort Gratiot, MI 48059 | 2006-08-11 |
| 1720018823 | Minden City Community Healthcare Outreach | Clinic/Center | 28 Deer Creek Drive, Fort Gratiot, MI 48059 | 2006-07-04 |
| 1982103966 | Luke Michael Privette | Physical Therapist | 4351 24th Ave Ste 1, Fort Gratiot, MI 48059 | 2018-02-06 |
| 1194115352 | Rachel Brooks | Chiropractor | 2844 Krafft Rd, Fort Gratiot, MI 48059 | 2015-01-27 |
| Find all providers in zip 48059 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710595616 | Diamond Dermatology, Pllc. | Dermatology | 3206 N Main St, Royal Oak, MI 48073-3424 | 2020-07-16 |
| 1477179174 | Alicia Scopis | Dermatology | 50505 Schoenherr Rd Ste 325, Shelby Township, MI 48315-3142 | 2020-06-18 |
| 1003460874 | Derm Institute of West Michigan Plc | Dermatology | 6750 Kalamazoo Ave, Suites C & D, Grand Rapids, MI 49508 | 2019-07-30 |
| 1770080939 | Emily Rose Davis | Dermatology | 5333 Mcauley Dr Rm 2111, Ypsilanti, MI 48197-1097 | 2018-04-12 |
| 1245744242 | Maureen Cliffel Do Pllc | Dermatology | 26454 Woodward Ave Ste 200, Royal Oak, MI 48067-0969 | 2017-11-29 |
| 1306375365 | Lindsay Christina El Awadi | Dermatology | 50182 Schoenherr Rd, Shelby Twp, MI 48315-3136 | 2017-06-05 |
| 1396278099 | Sasank Konda | Dermatology | 3031 W. Grand Blvd., 8th Floor, Dept. of Dermatology, Detroit, MI 48202 | 2017-04-10 |
| 1790132439 | Saara Kanervikkoaho-crane | Dermatology | 1517 Granger Ave, Ann Arbor, MI 48104-4426 | 2016-05-23 |
| 1588019053 | Legacy Dermatology Group PC | Dermatology | 1392 S Cass Lake Rd, Waterford, MI 48328 | 2016-05-03 |
| 1679955041 | Luke D Killpack | Dermatology | 5333 Mcauley Dr Rm 5003, Ypsilanti, MI 48197-1020 | 2015-06-22 |
| Find all providers with the same taxonomy | ||||
| City | FORT GRATIOT |
| Zip Code | 48059 |
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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.