FRED ANDREW WILLIAMS JR. (NPI# 1750380671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750380671 |
| Entity Type | Individual |
| Full Name | FRED ANDREW WILLIAMS JR. |
| Credential | MD |
| Practice Address |
2500 Hospital Drive Martinsburg WV 25401 |
| Mailing Address |
Po Box 1150 Martinsburg WV 25402-1150 |
| Practice Telephone | 3042641000 |
| Practice Fax Number | 3042641374 |
| Mailing Telephone | 3042641000 |
| Mailing Fax Number | 3042641374 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2020-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 12261 | WV | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
12261 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0049881000 | 05 | |
| VA | 6021417 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770518995 | Fred Aaron Williams | Obstetrics & Gynecology | 113 Gainsborough Square, Suite 201, Chesapeake, VA 23320 | 2006-07-12 |
| 1073540670 | Fred Randall Williams | Specialist/Technologist | 300 Columbia Ave, Chapin, SC 29036-9422 | 2006-06-27 |
| 1013987973 | Fred O. Williams | Emergency Medicine | 23500 Us Highway 160, Walsenburg, CO 81089-9524 | 2006-01-24 |
| 1427050137 | Fred Andrew Williams | Obstetrics & Gynecology | 1900 Fm 195, Paris, TX 75462-2821 | 2005-08-12 |
| 1033116454 | Fred C Williams Jr. | Neurological Surgery | 1200 Ne 48th Ave, Ste 1100, Hillsboro, OR 97124-4904 | 2005-06-30 |
| 1770752768 | Fred L Williams Jr. | Social Worker | 18954 James Couzens Fwy, Detroit, MI 48235-2516 | 2008-02-25 |
| 1316016421 | Fred Williams | Anesthesiology | 4500 13th St, Gulfport, MS 39501-2515 | 2006-11-06 |
| 1679565782 | Fred Wayne Williams | Obstetrics & Gynecology | 1450 Parkside Ave, Suite 10, Trenton, NJ 08638-2946 | 2005-08-16 |
| 1386644326 | Fred Harrison Williams | Internal Medicine | 121 Saint Lukes Center Dr, Suite 406, Chesterfield, MO 63017-3509 | 2005-07-29 |
| Street Address |
2500 HOSPITAL DRIVE |
| City | MARTINSBURG |
| State | WV |
| Zip Code | 25401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043213655 | Antonio Tamara | Pathology | 2500 Hospital Drive, City Hospital, Martinsburg, WV 25401-3402 | 2005-05-27 |
| 1851539381 | City Hospital Inc | Psychiatric Hospital | 2500 Hospital Drive, Martinsburg, WV 25401 | 2009-01-21 |
| 1053442541 | Antonio Tamara Md Ltd | Pathology | 2500 Hospital Drive, Martinsburg, WV 25401-3402 | 2007-03-08 |
| 1215010863 | Bradley Wayne Mongold | Emergency Medicine | 2500 Hospital Drive, Martinsburg, WV 25401 | 2006-10-24 |
| 1659463370 | Salutis Emergency Specialists Pllc | Emergency Medicine | 2500 Hospital Drive, Martinsburg, WV 25401 | 2006-09-29 |
| 1487745436 | City Hospital, Inc. | Skilled Nursing Facility | 2500 Hospital Drive, Martinsburg, WV 25401 | 2006-09-27 |
| 1174621882 | Melinda Rae Morris | Physician Assistant | 2500 Hospital Drive, Martinsburg, WV 25401 | 2006-09-20 |
| 1760490916 | Kristen Aimee Pettrone | Emergency Medicine | 2500 Hospital Drive, Martinsburg, WV 25402-1150 | 2006-08-04 |
| 1508809815 | Jessica A Stewart | Emergency Medicine | 2500 Hospital Drive, Martinsburg, WV 25401 | 2006-06-14 |
| 1285689000 | Ronald Clare Best Jr. | Emergency Medicine | 2500 Hospital Drive, Martinsburg, WV 25401 | 2006-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020537 | Christina Anne Williams | Nurse Practitioner | 2100 Hospital Drive, Martinsburg, WV 25401 | 2020-07-10 |
| 1013530633 | Pdi Health Wv LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 126 E. Burke Street, Martinsburg, WV 25401 | 2020-05-19 |
| 1699293035 | Tiffany Curry | Social Worker | 653 Winchester Avenue, Martinsburg, WV 25401 | 2017-09-06 |
| 1972042992 | Berkeley County Council | Counselor | 800 Emmett Rousch Drive, Martinsburg, WV 25401 | 2017-02-23 |
| 1023569449 | Heidi Crawford | Registered Nurse | 401 South College Street, Berkeley County Board of Ed, Martinsburg, WV 25401 | 2016-10-20 |
| 1578911293 | Christina Marie Van Hilst | Nurse Practitioner | 1001 Sushruta Dr, Martinsburg, WV 25401 | 2016-06-03 |
| 1578926549 | Barathy Radhakrishnan | Speech-Language Pathologist | 401 Queen Street, Berkeley County Board of Education, Martinsburg, WV 25401 | 2016-03-29 |
| 1972985638 | Wellco Dme LLC | Durable Medical Equipment & Medical Supplies | 107 Tavern Rd, Martinsburg, WV 25401 | 2015-06-18 |
| 1457731960 | Patrick Hamilton Noland | Dentist | 1003 Sushruta Dr., Martinsburg, WV 25401 | 2015-06-01 |
| 1801296330 | Terry Harden | Massage Therapist | 601 South Raliegh St., Martinsburg, WV 25401 | 2014-09-03 |
| Find all providers in zip 25401 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588149348 | East Mountain Health Physicians, Inc. | Radiology | 97 Administrative Dr Ste 200a, Martinsburg, WV 25404-6378 | 2018-09-27 |
| 1922092568 | Martinsburg Radiology Assoc Inc | Radiology | 300 Foxcroft Ave, Suite 202b, Martinsburg, WV 25401-5341 | 2005-09-09 |
| 1790969012 | Vivek Padha | Radiology | 300 Foxcroft Ave, Suite 202b B, Martinsburg, WV 25401-5341 | 2007-12-21 |
| 1083719496 | David Long Lawrence | Radiology | 510 Butler Ave, Imaging Service, Martinsburg, WV 25401-9990 | 2006-09-13 |
| 1144331745 | Peter Markovic | Radiology | 510 Butler Ave, Imaging Service, Martinsburg, WV 25401-9990 | 2006-08-31 |
| 1134165285 | John Louis Blanco | Radiology | 300 Foxcroft Ave, Suite 202b, Martinsburg, WV 25401-5341 | 2006-06-20 |
| 1053356204 | Dimitri Misailidis | Radiology | 300 Foxcroft Ave, Suite 202b, Martinsburg, WV 25401-5341 | 2006-06-19 |
| 1962447110 | Hojoon Jung | Radiology | 300 Foxcroft Ave, Suite 202b, Martinsburg, WV 25401-2541 | 2006-06-19 |
| 1053374462 | Sanjay Saluja | Radiology | 300 Foxcroft Ave, Suite 202b, Martinsburg, WV 25401-6624 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821555418 | Greenbrier Signature Health Inc | Radiology | 40823 Midland Trl E, White Sulphur Springs, WV 24986-5064 | 2019-03-01 |
| 1942612197 | Health and Education Building-urgent Care | Radiology | 390 Birch Street Suite B, Morgantown, WV 26506-6894 | 2014-05-22 |
| 1467795591 | Philip Connor Louden | Radiology | 1 Medical Center Dr, Room 1144, Morgantown, WV 26506 | 2013-03-27 |
| 1639417728 | Paul Lewis Kupferberg | Radiology | 122 Wedgewood Dr, Parkersburg, WV 26104-9229 | 2013-01-23 |
| 1871818872 | Cara M Bryan | Radiology | 1 Medical Center Drive 9001a, Morgantown, WV 26506 | 2010-04-01 |
| 1114109683 | Community Health Systems Inc. | Radiology | 200 Carriage Dr, Beckley, WV 25801-2876 | 2007-11-27 |
| 1275753576 | Mountaineer Imaging Center | Radiology | 60 R H L Blvd, Charleston, WV 25309-8278 | 2007-04-27 |
| 1275671117 | Krishnajivan Chhabildas Shah | Radiology | 466 Irish St, Summersville, WV 26651-1818 | 2007-02-02 |
| 1194810796 | Michael Christopher Macatol | Radiology | 1320 12th St, B3, Huntington, WV 25701 | 2006-10-03 |
| 1518062876 | Appalachian Surgical Associates, LLC | Radiology | 201 12th Street Ext, Princeton, WV 24740-2329 | 2006-09-13 |
| Find all providers with the same taxonomy | ||||
| City | MARTINSBURG |
| Zip Code | 25401 |
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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.