WILLIAM CLARENCE WILLIARD (NPI# 1700830064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700830064 |
| Entity Type | Individual |
| Full Name | WILLIAM CLARENCE WILLIARD |
| Credential | MD |
| Practice Address |
3920 Capitol Mall Dr Sw Suite 201 Olympia WA 98502-8700 |
| Practice Telephone | 3607541029 |
| Practice Fax Number | 3607547885 |
| Mailing Telephone | 3607541029 |
| Mailing Fax Number | 3607547885 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2013-02-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | MD00029497 | WA | Other Service Providers |
| Y | 208600000X | Surgery | MD00029497 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | PTAN | GAB21325 | 01 |
| WA | 8272346 | 05 |
| Street Address |
3920 CAPITOL MALL DR SW SUITE 201 |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98502-8700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922007848 | Austin C Lampert | Internal Medicine | 3920 Capitol Mall Dr Sw, Ste 308, Olympia, WA 98502-8701 | 2005-07-21 |
| 1568728509 | Laboratory Corporation of America | Clinical Medical Laboratory | 3920 Capitol Mall Dr Sw, Suite 100, Olympia, WA 98502-8700 | 2012-04-04 |
| 1073716262 | Respiratory Physicians of Southwest Washington | Specialist | 3920 Capitol Mall Dr Sw, Ste 304, Olympia, WA 98502-8700 | 2007-06-06 |
| 1821101197 | Olympia Multi-specialty Clinic Ambulatory Procedures Cntr Pllc | Specialist | 3920 Capitol Mall Dr Sw, Suite 300, Olympia, WA 98502-8700 | 2006-08-17 |
| 1114957875 | Northwest Surgical Group PC | Specialist | 3920 Capitol Mall Dr Sw, Suite 201, Olympia, WA 98502-8700 | 2006-07-05 |
| 1154351807 | Advanced Breast Techonology | Specialist | 3920 Capitol Mall Dr Sw, #100, Olympia, WA 98502-8700 | 2006-07-04 |
| 1336198118 | David Michael Deitz | Surgery | 3920 Capitol Mall Dr Sw, Suite 302, Olympia, WA 98502-8700 | 2006-05-09 |
| 1104815950 | Laurel A Dickason | Obstetrics & Gynecology | 3920 Capitol Mall Dr Sw, Ste 400, Olympia, WA 98502-8700 | 2005-10-14 |
| 1790774545 | Kendra L Hansen | Obstetrics & Gynecology | 3920 Capitol Mall Dr Sw, Suite 400, Olympia, WA 98502-8700 | 2005-10-14 |
| 1588653398 | Debra A Johnson | Obstetrics & Gynecology | 3920 Capitol Mall Dr Sw, Ste 400, Olympia, WA 98502-8700 | 2005-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409172 | Fanny Cordero | Interpreter | 1415 4th Ave W, Olympia, WA 98502 | 2020-08-26 |
| 1235762832 | Accessible Living Physical Therapy | Clinic/Center | 3524 7th Ave Se, Olympia, WA 98502 | 2020-02-21 |
| 1548807738 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1200 Cooper Point Road Sw, Suite 100, Olympia, WA 98502 | 2019-12-06 |
| 1851946388 | Katherine Ann Vitela | Registered Nurse | 4909 Green Wood Dr Sw, Olympia, WA 98502 | 2019-08-01 |
| 1538632658 | Carmen Rae Breding | Massage Therapist | 2627 Capital Mall Dr Se, Olympia, WA 98502 | 2019-01-11 |
| 1285129155 | Fook Yee Cheung | Genetic Counselor, MS | 2010 Caton Way Sw Ste 102, Olympia, WA 98502 | 2018-06-24 |
| 1942724158 | William Coburn | Specialist/Technologist | 703 Lilly Road Ne, Suite 104, Olympia, WA 98502 | 2017-07-29 |
| 1225567415 | Thierry Buckner | Counselor | 2400 Bristol Court Sw, Olympia, WA 98502 | 2017-06-09 |
| 1619406048 | Trenton Reid | Massage Therapist | 2103 Harrison Ave Nw #2642, Olympia, WA 98502 | 2017-06-08 |
| 1962807305 | Richa Mehta | Dentist | 1530 Black Lake Boulevard, Suite A103, Olympia, WA 98502 | 2014-10-28 |
| Find all providers in zip 98502 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336474816 | Curtis John Edwards | Surgery | 4310 Foxhall Dr Ne, Olympia, WA 98516-1105 | 2009-10-16 |
| 1083762546 | Louis Gevirtzman | Surgery | 2540 Wedgewood Ct Se, Olympia, WA 98501-3855 | 2007-01-08 |
| 1003978644 | Robert D. Kugel | Surgery | 205 Lilly Rd Ne Ste D, Olympia, WA 98506-5069 | 2006-12-13 |
| 1710094156 | Laurence E Perrin | Surgery | 406 Black Hills Ln Sw Ste C, Olympia, WA 98502-8144 | 2006-08-23 |
| 1477569150 | Sheila G Fay | Surgery | 525 Lily Rd Ne, Olympia, WA 98506 | 2006-08-01 |
| 1659315810 | David Fj Tollefson | Surgery | 3920 Capitol Mall Dr Sw Ste 302, Olympia, WA 98502-8701 | 2006-06-16 |
| 1063454155 | Robert Sander Hipp | Surgery | 3920 Capitol Mall Dr, Suite 302, Olympia, WA 98502 | 2006-06-12 |
| 1275522450 | Todd A Woltman | Surgery | 3920 Capital Mall Dr Sw Ste 201, Olympia, WA 98502-8702 | 2005-10-19 |
| 1427397462 | Samuel Jacob Michel | Surgery | 3610 Ensign Rd Ne, Olympia, WA 98506-5025 | 2013-02-12 |
| 1033430053 | Monica Young | Surgery | 3920 Capital Mall Dr Sw Ste 201, Olympia, WA 98502-8702 | 2010-06-14 |
| Find all providers in OLYMPIA | ||||
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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.