DR. PAUL DAVID WILLIAMS (NPI# 1861508111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861508111 |
| Entity Type | Individual |
| Full Name | DR. PAUL DAVID WILLIAMS |
| Credential | M.D. |
| Practice Address |
40124 Highway 27 Ste 207 Davenport FL 33837-5905 |
| Practice Telephone | 8634198072 |
| Practice Fax Number | 8634217109 |
| Mailing Telephone | 8634217276 |
| Mailing Fax Number | 8634217109 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2018-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | ME133737 | FL | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | MT200183 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 001582515 | 05 | |
| BLUE CROSS BLUE SHIELD | 608195 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1485 Legends Blvd, Champions Gate, FL 338968393 | 8634217276 | |
| 40100 Highway 27, Davenport, FL 338375906 | 8634224971 | |
| 69 Jesse Hill Junior Drive Sw, Glen Memorial Building, 3rd Floor, Atlanta, GA 30303 | 7138290772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477116820 | Paul Logan Williams | Student in an Organized Health Care Education/Training Program | 1306 Se Rio Dr, Ankeny, IA 50021-3846 | 2019-04-20 |
| 1437686508 | Paul Anthony Williams Jr. | Family Medicine | 4431 Mcpherson Ave, Saint Louis, MO 63108-2505 | 2017-05-18 |
| 1356798292 | Paul Williams | Physical Therapist | 619 Pole Line Rd, Apt. 141, Davis, CA 95618-5416 | 2016-05-20 |
| 1215270996 | Paul J. Williams | Contractor | 8610 Chestnut Ridge Dr, Laurel, MD 20707-4927 | 2013-04-01 |
| 1972854701 | Paul A Williams | Nurse Anesthetist, Certified Registered | 799 Lexinton Ave, Mansfield, OH 44907-1906 | 2012-09-19 |
| 1356648752 | Paul David Williams | Genetic Counselor, MS | 12834 Wheaton Ave, Pickerington, OH 43147-8824 | 2011-02-21 |
| 1760616536 | Paul C Williams | Neurological Surgery | 2505 Anthem Village Dr., Suite E-606, Henderson, NV 89052 | 2009-05-08 |
| 1548307788 | Paul Parker Williams | Family Medicine | 335 Poplar View Ln E, #1, Collierville, TN 38017-3192 | 2007-01-30 |
| 1477619781 | Paul D. Williams | Counselor | 2862 N Belt Line Rd, Mesquite, TX 75182-9388 | 2006-12-29 |
| 1982767570 | Paul H. Williams | Dentist | 106 Argus Ln Ste C, Mooresville, NC 28117-9266 | 2006-12-18 |
| Street Address |
40124 HIGHWAY 27 STE 207 |
| City | DAVENPORT |
| State | FL |
| Zip Code | 33837-5905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538400718 | Lisa Jo Schilling | Nurse Practitioner | 40124 Highway 27 Ste 207, Davenport, FL 33837-5905 | 2013-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922612274 | Kimberly Zariya Honaker | Massage Therapist | 398 Madison Drive, Davenport, FL 33837 | 2020-09-03 |
| 1609480375 | Sun Health and Wellness, Inc | Pharmacy | 109 Park Place Blvd, Suite A, Davenport, FL 33837 | 2020-09-01 |
| 1093323156 | Tammey Davis Payne | Counselor | 1423 Merrimack Lane, Davenport, FL 33837 | 2020-07-15 |
| 1346872835 | Shelly Hanson | Dietitian, Registered | 40100 Us 27, Davenport, FL 33837 | 2020-02-12 |
| 1689221269 | Adventist Health System /sunbelt, Inc. | Clinic/Center | 40124 Us Hwy 27, Suite 205, Davenport, FL 33837 | 2019-08-20 |
| 1578029039 | Portia P White | In Home Supportive Care | 108 East James St, Davenport, FL 33837 | 2019-02-20 |
| 1366937146 | Sheetal Kirat Parikh | Dietitian, Registered | 40100 Us Highway 27, Davenport, FL 33837 | 2018-06-25 |
| 1063929883 | Marisa Christine Sweetser | Registered Nurse | 40100 Us-27, Davenport, FL 33837 | 2018-01-02 |
| 1104341460 | Haley Kampf | Behavioral Analyst | 4303 Cortland Dr, Davenport, FL 33837 | 2017-08-08 |
| 1013438373 | Tamara Michelle Ortiz | Speech-Language Pathologist | 206 Nova Drive, Davenport, FL 33837 | 2017-06-27 |
| Find all providers in zip 33837 | ||||
| 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 |
|---|---|---|---|---|
| 1538227442 | Carifi Breast Care Pa | Surgery | 171 Webb Drive, Suite #1, Davenport, FL 33837 | 2006-12-04 |
| 1770597569 | Perumalswamy Rajaram | Surgery | 40124 Highway 27 Ste 104, Davenport, FL 33837-5905 | 2006-07-28 |
| 1578590014 | Mel Francis Garrovillo | Surgery | 111 Webb Dr Ste 3, Davenport, FL 33837-3944 | 2006-06-28 |
| 1669478087 | Vincent G Carifi | Surgery | Carifi Breast Care, P.a., 171 Webb Drive - Suite #1, Davenport, FL 33837 | 2005-06-21 |
| 1720313364 | Shiva Seetahal | Surgery | 40124 Highway 27, Suite 104, Davenport, FL 33837-5905 | 2009-10-15 |
| 1336346246 | Garrovillo Surgical Care LLC | Surgery | 111 Webb Dr, Suite 3, Davenport, FL 33837-3944 | 2007-07-03 |
| 1588861389 | Andrew J Lightfoot | Surgery | 3319 Spring St, Davenport, IA 52807-2125 | 2007-06-27 |
| 1891991832 | Rajaram P A | Surgery | 40124 Highway 27, Suite 203, Davenport, FL 33837-5905 | 2007-06-26 |
| 1053527853 | Lincoln County Hospital District 3 | Surgery | 100 3rd St Ste 1, Davenport, WA 99122-5008 | 2007-05-16 |
| 1871647008 | Sinclair Surgical Pa | Surgery | 131 Webb Drive, Suite B, Davenport, FL 33837-5905 | 2007-01-23 |
| Find all providers in DAVENPORT | ||||
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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.