DR. JEFFREY R WILLIAMSON (NPI# 1881641165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881641165 |
Entity Type | Individual |
Full Name | DR. JEFFREY R WILLIAMSON |
Credential | DO |
Practice Address |
6785 Myers Lake Ave Ne Rockford MI 49341 |
Mailing Address |
Po Box 260 Rockford MI 49341 |
Practice Telephone | 6168845191 |
Practice Fax Number | 6168845192 |
Mailing Telephone | 6168845191 |
Mailing Fax Number | 6168845192 |
Enumeration Date | 2006-05-30 |
Last Update Date | 2020-01-27 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | JW011762 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 48103028 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063010247 | Jeffrey Heath Williamson | Counselor | 3350 Lansbury Village Dr Apt 2, Atlanta, GA 30341-5749 | 2020-10-11 |
1114038916 | Jeffrey Michael Williamson | Psychologist | 3700 N Harbor City Blvd, Ste 1d, Melbourne, FL 32935-5764 | 2006-08-31 |
1760082549 | Jeffrey Allen Williamson | Pharmacist | 297 Highway 32 Byp, Ashdown, AR 71822-8972 | 2020-10-29 |
1831375617 | Jeffrey Adam Williamson | Counselor | 18 Portland Ave, Medford, OR 97504-7309 | 2008-01-11 |
1245359868 | Jeffrey Austin Williamson | Dentist | 5 Centerpointe Dr, Suite 260, Lake Oswego, OR 97035-8651 | 2007-03-28 |
1154302602 | Jeffrey L Williamson | Surgery | 900 Main St, Suite 530, Peoria, IL 61602-1005 | 2005-11-10 |
Street Address |
6785 MYERS LAKE AVE NE |
City | ROCKFORD |
State | MI |
Zip Code | 49341 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1750443750 | Jeffrey R Williamson Do PC | Family Medicine | 6785 Myers Lake Ave Ne, Rockford, MI 49341 | 2006-12-15 |
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 |
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 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 |
---|---|---|---|---|
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 |
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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.