JEFFREY R WILLIAMSON DO PC


Address: 6785 Myers Lake Ave Ne, Rockford, MI 49341
Phone: 6168845191

JEFFREY R WILLIAMSON DO PC (NPI# 1750443750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750443750
Entity Type Organization
Organization Name JEFFREY R WILLIAMSON DO PC
Other Organization Name JEFFREY R WILLIAMSON DO PC
Practice Address 6785 Myers Lake Ave Ne
Rockford
MI 49341
Mailing Address Po Box 260
6785 Myers Lake Ave Ne
Rockford
MI 49341-7416
Practice Telephone 6168845191
Practice Fax Number 6168845192
Mailing Telephone 6168845191
Mailing Fax Number 6168845192
Enumeration Date 2006-12-15
Last Update Date 2020-01-20
Authorized Official Name KATHY JO UECKER (CREDENTIALING MANAGER)
Authorized Official Telephone 2694209404
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine Allopathic & Osteopathic Physicians
Y 207Q00000X Family Medicine JW011762 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 48109028 05

Other Provider/Organization Names

Other Name Type Code
Jeffrey R Williamson DO PC Doing Business As Name - Organization

Office Location

Street Address 6785 MYERS LAKE AVE NE
City ROCKFORD
State MI
Zip Code 49341

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881641165 Jeffrey R Williamson Family Medicine 6785 Myers Lake Ave Ne, Rockford, MI 49341 2006-05-30
1427514306 Elder Care of West Michigan Pllc Nurse Practitioner 6785 Myers Lake Ave Ne, Rockford, MI 49341-7416 2019-02-15
1184984874 Jacob Stephen Miller Dentist 6785 Myers Lake Ave Ne, Rockford, MI 49341-7416 2012-05-29
1174641740 David B Fischer Dentist 6785 Myers Lake Ave Ne, Suite A, Rockford, MI 49341-7416 2007-03-26
1295841153 Michael J Kelley Dpm Podiatrist 6785 Myers Lake Ave Ne, Suite C, Rockford, MI 49341-7416 2006-08-22
1548376494 Michael Kelley Podiatrist 6785 Myers Lake Ave Ne, Suite C, Rockford, MI 49341-7416 2006-08-22
1235152935 Gretchen C Schumacher Nurse Practitioner 6785 Myers Lake Ave Ne, Rockford, MI 49341-7416 2006-07-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801451836 Heather Nash Social Worker 65 S. Main Street, Lower Level, Rockford, MI 49341 2019-05-06
1366967069 Caitlin Lebron Case Manager/Care Coordinator 8625 Wildcat Run Dr Ne, Rockford, MI 49341 2017-08-03
1366967077 Elite Nurse Staffing, LLC Nursing Care 3836 Windwood Drive, Ne, Rockford, MI 49341 2017-08-03
1336678747 Melissa Diane Maynard Behavior Technician 3361 36th St., Grand Rapids, MI 49341 2017-06-08
1376077453 Spectrum Health Primary Care Partners Internal Medicine 8501 Meadowcreek Dr, Rockford, MI 49341 2017-04-17
1871025254 Robin D Dine Behavior Technician 8636 Shaner Ave, Rockford, MI 49341 2017-04-03
1528503216 Miles Skalnek Pharmacist 511 10 Mile Road, Rockford, MI 49341 2017-01-04
1366801664 Lorri Ann Kelbel Massage Therapist 11591 Northland Drive Ne, Rockford, MI 49341 2016-02-15
1275872046 Eugene Louis Bonofiglo Dentist 4655- 14 Mile Rd Ne, Rockford, MI 49341 2013-02-13
1740539246 Erica Joyce Nichols Chiropractor 6769 Courtland Dr, Suite 100, Rockford, MI 49341 2012-08-30
Find all providers in zip 49341

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851910350 Charity L Soles Family Medicine 4134 Ashwinton Way, Rockford, IL 61109-3273 2020-04-14
1306250543 Camille Ryan Family Medicine 6050 Northland Dr Ne Ste 200, Rockford, MI 49341-9257 2014-06-16
1396991485 Novella Ann Schafer Family Medicine 3719 Regal Ridge Circle, Rockford, IL 61114-6037 2008-08-08
1417139130 Derek Lanier Family Medicine 8450 Brower Lake Rd Ne, Apt/suite, Rockford, MI 49341-9346 2007-12-04
1144414921 Moses Godofredo Tomacruz Family Medicine 1502 Parkview Ave, Rockford, IL 61107-1821 2007-09-05
1508077165 Robert Dejonge Do PC Family Medicine 350 Northland Dr Ne, Rockford, MI 49341-1401 2007-05-25
1902018641 Julie Stark Family Medicine 3475 So Alpine Rd, Physicians Immediate Care, Rockford, IL 61109-2604 2007-05-04
1205976024 Mohammed Khaleeluddin Family Medicine 1729 Oak Park Drive, Rockford, IL 61107-5510 2007-02-08
1134273238 Swedishamerican Hosptial Family Medicine 3906 N Main St, Suite A, Rockford, IL 61103-1679 2007-01-23
1194897223 Niccole Ranz Family Medicine 2222 E State St, Suite 209, Rockford, IL 61104-1573 2006-11-14
Find all providers in ROCKFORD

Competitor

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City ROCKFORD
Zip Code 49341

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Dataset Information

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.

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