DR. JEFFREY WILLIAMS (NPI# 1780661074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780661074 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY WILLIAMS |
| Credential | D.O. |
| Practice Address |
1500 Salem St Lafayette IN 47904-2164 |
| Mailing Address |
Po Box 5545 Lafayette IN 47903-5545 |
| Practice Telephone | 7654488000 |
| Mailing Telephone | 7654488000 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2014-11-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 02002139A | IN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 34006949W | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNISON PIN | 000000177576 | 01 | |
| ANTHEM PIN | 000000185151 | 01 | |
| OH | GROUP MEDICAID | 0989499 | 01 |
| IN | ANTHEM PROVIDER NUMBER | 000000873283 | 01 |
| OH | 2187011 | 05 | |
| UHC PIN | 0110615 | 01 | |
| CARESOURCE PIN | 311413469041 | 01 | |
| IN | 201219650 | 05 | |
| MEDICARE RAILROAD | 080157683 | 01 | |
| GROUP MEDICARE RAILROAD | CA1586 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710595624 | Jeffrey Williams | Counselor | 803 Wyemouth Dr, Newport News, VA 23602-8916 | 2020-07-16 |
| 1558883116 | Jeffrey Williams | Counselor | 3456 Eaton Street, Baton Rouge, LA 70805 | 2017-07-14 |
| 1275053936 | Jeffrey Williams | Specialist/Technologist | 2702 Tangle Wood Dr., Commerce, TX 75428 | 2017-06-23 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| 1295121820 | Jeffrey Nicholas Williams | Pharmacy Technician | 120 Brazzell Rd, Dickson, TN 37055 | 2015-04-10 |
| 1659678456 | Jeffrey Max Williams | Chiropractor | 246 E Chubbuck Rd Ste A, Chubbuck, ID 83202-1965 | 2011-02-15 |
| 1134439409 | Jeffrey Mitchell Williams | Chiropractor | 15962 Boones Ferry Rd Ste 202, Lake Oswego, OR 97035-4360 | 2010-10-20 |
| 1881726701 | Jeffrey Dimitry Williams | Internal Medicine | 2150 Pennsylvania Ave Nw Ste 8-404, Washington, DC 20037 | 2007-03-09 |
| 1811073299 | Jeffrey Alan Williams | Chiropractor | 1 Westwood Medical Park, Bluefield, VA 24605-2000 | 2006-10-28 |
| 1528164753 | Jeffrey Kent Williams | Internal Medicine | 1901 Fourth Avenue, Suite 100, San Diego, CA 92101-2381 | 2006-09-15 |
| Street Address |
1500 SALEM ST |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47904-2164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568448876 | Tamara Loewen Hazbun | Emergency Medicine | 1500 Salem St, Lafayette, IN 47904-2164 | 2005-12-19 |
| 1801246467 | Jacqulyn Burgess | Registered Nurse | 1500 Salem St, Lafayette, IN 47904-2164 | 2016-06-15 |
| 1942656186 | Amanda Dehne | Registered Nurse | 1500 Salem St, Lafayette, IN 47904-2164 | 2016-05-06 |
| 1134527807 | Rebecca J Hauck | Registered Nurse | 1500 Salem St, Lafayette, IN 47904-2164 | 2014-12-12 |
| 1679977128 | Michael E Criswell | Clinical Nurse Specialist | 1500 Salem St, Lafayette, IN 47904-2164 | 2014-10-13 |
| 1962840785 | Amy Sue Mclaughlin | Registered Nurse | 1500 Salem St, Lafayette, IN 47904-2164 | 2013-06-14 |
| 1487920310 | Laurie L Lebegue | Specialist/Technologist, Other | 1500 Salem St, Lafayette, IN 47904-2164 | 2012-03-26 |
| 1356659403 | Leslie Anne Bentinganan | Family Medicine | 1500 Salem St, Lafayette, IN 47904-2164 | 2010-09-22 |
| 1154598563 | Tasbirul Islam | Internal Medicine | 1500 Salem St, Lafayette, IN 47904-2164 | 2008-05-14 |
| 1346413713 | Leslie E Harshman | Specialist/Technologist, Other | 1500 Salem St, Lafayette, IN 47904-2164 | 2008-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
| 1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
| 1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
| 1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
| 1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
| 1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
| 1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
| 1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
| 1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
| 1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
| Find all providers in zip 47904 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060135 | Audubon Family Medicine LLC | Family Medicine | 2301 Moss St, Lafayette, LA 70501-2125 | 2020-10-15 |
| 1871116244 | Partners In Primary Care La PC | Family Medicine | 537 Bertrand Dr Ste F0a, Lafayette, LA 70506-5556 | 2020-05-20 |
| 1013471259 | Courtney Cobb | Family Medicine | 500 Juliette Pl, Lafayette, LA 70506-4571 | 2019-01-22 |
| 1538672993 | Pamela Rene Roeder | Family Medicine | 8196 N 1000 E, Lafayette, IN 47905-9742 | 2017-11-08 |
| 1790297935 | Diamond Medical Group | Family Medicine | 830 Park East Blvd, Lafayette, IN 47905-0778 | 2017-10-27 |
| 1780114074 | Mimi Nguyen | Family Medicine | 4212 W Congress St Ste 1600, Lafayette, LA 70506-6767 | 2017-06-19 |
| 1679922249 | Lafayette Health Ventures, Inc | Family Medicine | 917 W Gloria Switch Road, Lafayette, LA 70507-2309 | 2016-06-06 |
| 1003278854 | Rebecca Lynn Currier Curran | Family Medicine | 2932 Ambassador Caffery Parkway, Lafayette, LA 70506 | 2016-03-22 |
| 1871989244 | Justin Matthew Pratt | Family Medicine | 1630 Rue Du Belier Apt 1307, Lafayette, LA 70506 | 2015-04-12 |
| 1558761973 | A. Elaine Ashby, M.d., Inc. | Family Medicine | 3732 Mt Diablo Blvd Ste 385, Lafayette, CA 94549-3625 | 2014-09-04 |
| Find all providers in LAFAYETTE | ||||
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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.