DR. KEITH ANTHONY WILLIAMS (NPI# 1689865891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689865891 |
| Entity Type | Individual |
| Full Name | DR. KEITH ANTHONY WILLIAMS |
| Credential | MD |
| Practice Address |
4265 Laura Street Port Charlotte FL 33980 |
| Mailing Address |
Po Box 510816 Punta Gorda FL 33951-0816 |
| Practice Telephone | 9417647117 |
| Practice Fax Number | 9417641049 |
| Mailing Telephone | 9417647117 |
| Mailing Fax Number | 9417641049 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2011-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
ME0066000 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 262297100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841641321 | Keith Williams | Speech-Language Pathologist | 145 Arden Pl, Alpharetta, GA 30022-5218 | 2016-06-27 |
| 1205205465 | Keith Williams Jr. | Home Health | 1850 5th Ave Unit 4, San Diego, CA 92101 | 2015-09-17 |
| 1558611657 | Keith Williams | Behavioral Analyst | 807 E Cheyenne Ave, North Las Vegas, NV 89030-8003 | 2012-09-16 |
| 1174716005 | Keith Lee Williams | Psychologist | 3771 N Eagle Rd, Boise, ID 83713-5005 | 2007-08-23 |
| 1629296793 | Keith Alexander Williams | Dentist | 279 S State Road 7, Margate, FL 33068-5727 | 2007-04-23 |
| 1386703445 | Keith Williams | Chiropractor | 790a Union St, A, Brooklyn, NY 11215-1307 | 2006-12-06 |
| 1184630238 | Keith Norman Williams | Internal Medicine | 18712 Bellevista Ct, Hudson, FL 34667-5757 | 2006-07-31 |
| 1083673487 | Keith Donald Williams | Physical Therapist | 32000 Northwestern Hwy Ste 180, Farmington Hills, MI 48334 | 2006-03-23 |
| 1558336313 | Keith M Williams | Optometrist | 1100 N Main Ave, San Antonio, TX 78212 | 2006-02-22 |
| 1730748641 | Keith Williams | Case Manager/Care Coordinator | 1628 E Page Ave, Malvern, AR 72104-4524 | 2019-06-13 |
| Street Address |
4265 LAURA STREET |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144699646 | Raymond B Hendricks | Custodial Care Facility | 1306 Annette St, Port Charlotte, FL 33980 | 2015-09-15 |
| 1649616517 | Anne Yvonne Clarke | Nurse's Aide | 3378 Idlewild Street, Port Charlotte, FL 33980 | 2013-05-17 |
| 1427395680 | John F Guarino Md Pa | Surgery | 4245 Kings Hwy, Unit A, Port Charlotte, FL 33980 | 2013-01-08 |
| 1497049027 | Patricia Ann Drow | Occupational Therapist | 24469 Manchester Trail, Port Charlotte, FL 33980 | 2011-05-31 |
| 1811221484 | Amanda K Huffman | Clinical Nurse Specialist | 22655 Bayshore Rd Ste 130, Port Charlotte, FL 33980 | 2009-09-29 |
| 1093967739 | Donna Olson | Nurse Practitioner | 1100 Loveland Boulevard, Port Charlotte, FL 33980 | 2008-10-14 |
| 1821278029 | Paula Marie Allison | Dietitian, Registered | 23422 Burlingame Ave, Port Charlotte, FL 33980 | 2007-11-06 |
| 1578685491 | Richard Michael Cocchieri | Dentist | Florida Department of Health In Charlotte County, 1100 Loveland Boulevard, Port Charlotte, FL 33980 | 2007-04-03 |
| 1417989328 | John F Guarino | Surgery | 4245 Kings Highway, Unit A, Port Charlotte, FL 33980 | 2006-07-07 |
| 1023086352 | Total Renal Care Inc | Clinic/Center | 4300 Kings Hwy Ste 406, Port Charlotte, FL 33980 | 2006-03-11 |
| Find all providers in zip 33980 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760776876 | Lee Michael James | Physical Medicine & Rehabilitation | 1641 Tamiami Trl, Suite 1, Port Charlotte, FL 33948-1018 | 2011-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477161214 | Radius Medical Center LLC | Physical Medicine & Rehabilitation | 2425 E Commercial Blvd Ste 203, Fort Lauderdale, FL 33308-4062 | 2020-07-17 |
| 1912460874 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 5701 21st Ave W Ste 3, Bradenton, FL 34209-5605 | 2019-04-08 |
| 1508320342 | Grigory Pogrebinsky Md Pa | Physical Medicine & Rehabilitation | 12450 Tamiami Trl S Unit E, North Port, FL 34287-1473 | 2019-01-25 |
| 1235611815 | Peter Danger Molina | Physical Medicine & Rehabilitation | 1190 Nw 95th St Ste 200, Miami, FL 33150-2064 | 2018-08-30 |
| 1497246540 | Restore Medical Partners Pllc | Physical Medicine & Rehabilitation | 333 Tamiami Trl S Ste 101, Venice, FL 34285-2425 | 2018-05-24 |
| 1568952240 | South Florida Physical Medicine and Rehabilitation Center LLC | Physical Medicine & Rehabilitation | 1200 S Main St Ste 200, Belle Glade, FL 33430-7808 | 2018-05-17 |
| 1235641655 | Boca Pain Care, Inc | Physical Medicine & Rehabilitation | 851 Meadows Rd Ste 213, Boca Raton, FL 33486-2348 | 2017-10-25 |
| 1558870477 | Pain Control Solutions II LLC | Physical Medicine & Rehabilitation | 8323 Nw 12th Street, Suite 115, Miami, FL 33126 | 2017-09-22 |
| 1245759851 | Chelsea Hakeem | Physical Medicine & Rehabilitation | 8936 77th Terrace East, Suit 101, Lakewood Ranch, FL 34202 | 2017-09-14 |
| 1508384165 | Destiny Therapy Center Inc | Physical Medicine & Rehabilitation | 7480 Fairway Dr., Suite 101, Miami Lakes, FL 33014 | 2017-09-05 |
| Find all providers with the same taxonomy | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33980 |
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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.