DR. ROGER MARK WILLIAMS (NPI# 1750373460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750373460 |
| Entity Type | Individual |
| Full Name | DR. ROGER MARK WILLIAMS |
| Credential | M.D. |
| Practice Address |
501 Dr Michael Debakey Dr Lake Charles LA 70601-5724 |
| Mailing Address |
Po Box 4388 Lake Charles LA 70606-4388 |
| Practice Telephone | 3374776172 |
| Practice Fax Number | 3374771422 |
| Mailing Telephone | 3374776172 |
| Mailing Fax Number | 3374771422 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2009-07-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 016891 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1366901 | 05 | |
| LA | TRICARE/CHAMPUS | 76-0216590 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385888 | Roger Gale Williams II | Chiropractor | 121 N Commerce St Ste 212, Johnson City, TN 37604-4712 | 2020-10-28 |
| 1376991182 | Roger Dale Williams Vi | Technician, Other | 6300 Montgomery Blvd Ne, W128, Albuquerque, NM 87109-1422 | 2016-06-02 |
| 1750552832 | Roger Williams | Student in an Organized Health Care Education/Training Program | Womack Area Medical Center, Family Medical Residency Center, Bldg 4-2817, Fort Bragg, NC 28310-5000 | 2008-03-18 |
| 1467643650 | Roger Thomas Williams | Anesthesiology | 405 Londonderry Drive, Suite 105, Woodway, TX 76712 | 2007-08-05 |
| 1982709481 | Roger Anson Williams | Pathology | Carpenter St 2 Ne of Third, Carmel By The Sea, CA 93921-2402 | 2006-09-13 |
| 1043223761 | Roger Lee Williams | Dentist | 200 Cedar Ave, Moundsville, WV 26041 | 2006-08-14 |
| 1750325692 | Roger S. Williams | Psychiatry & Neurology | 120 Poly Dr, Suite 201, Billings, MT 59101-0136 | 2006-06-14 |
| 1811970452 | Roger C Williams | Dentist | 2750 Dover Center Rd, Westlake, OH 44145-4501 | 2005-11-29 |
| 1740732825 | Roger Charles Williams Jr. | Nurse Practitioner | 301 40th St, Lubbock, TX 79404-2746 | 2016-10-25 |
| 1457476889 | Roger Michael Williams | Physician Assistant | 1009 W Baker St, Plant City, FL 33563-4431 | 2007-03-21 |
| Street Address |
501 DR MICHAEL DEBAKEY DR |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-5724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407859937 | Andre' Fontenot Knapp | Nurse Practitioner | 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 | 2005-05-30 |
| 1477171312 | Emily Ann Presnull | Nurse Practitioner | 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 | 2020-07-07 |
| 1710459623 | Christian Charles White | Registered Nurse | 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 | 2018-12-18 |
| 1780196907 | Candice Alea Boudreaux | Nurse Practitioner | 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 | 2017-10-27 |
| 1154854255 | Chad Ray Hodge | Registered Nurse | 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 | 2017-04-05 |
| 1730630864 | Steven James Comeaux | Registered Nurse | 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 | 2016-10-24 |
| 1538614235 | Deanna Darlene Read | Nurse Practitioner | 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 | 2016-08-23 |
| 1336534064 | Kelsey Cobb | Nurse Practitioner | 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 | 2015-03-31 |
| 1487046694 | Timothy Joseph Dougherty | Nurse Practitioner | 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 | 2015-02-25 |
| 1962813105 | Heather Smith Adams | Nurse Practitioner | 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 | 2014-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356992119 | Keith F. Desonier, M.d, Apmc | Otolaryngology | 555 Dr Michael Debakey Dr Ste 103, Lake Charles, LA 70601-5700 | 2019-09-24 |
| 1801184007 | Lcms Ear, Nose and Throat Clinic of Southwest Louisiana, LLC | Otolaryngology | 1890 W Gauthier Rd Ste 205, Lake Charles, LA 70605-7179 | 2011-07-21 |
| 1720278385 | Brad Wayne Lebert | Otolaryngology | 1615 Wolf Circle, Lake Charles, LA 70605 | 2007-07-30 |
| 1972147387 | Ent and Allergy Clinic LLC | Otolaryngology | 1615 Wolf Cir, Lake Charles, LA 70605-2348 | 2019-10-30 |
| 1235592262 | Imperial Health, LLP | Otolaryngology | 1615 Wolf Circle, Lake Charles, LA 70605 | 2016-03-29 |
| 1396120275 | Dr Brad W Lebert Md LLC | Otolaryngology | 1920 W Sale Rd, Bldg F, Ste 3 & 4, Lake Charles, LA 70605-2400 | 2015-07-21 |
| 1740664796 | Imperial Health, LLP | Otolaryngology | 1920 W Sale Rd, Bldg F, Ste 3 & 4, Lake Charles, LA 70605-2400 | 2015-07-18 |
| 1487082053 | Dr Brad W Lebert Md LLC | Otolaryngology | 1615 Wolf Circle, Lake Charles, LA 70605-2348 | 2013-10-17 |
| 1326365123 | Blake Leblanc | Otolaryngology | 1615 Wolf Circle, Lake Charles, LA 70605 | 2010-05-03 |
| 1083875850 | Bridget Catherine Loehn | Otolaryngology | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2008-06-24 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
Please comment or provide details below to improve the information on DR. ROGER MARK WILLIAMS.
| 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.