DOUGLAS STANLEY WILLIAMS (NPI# 1932106713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932106713 |
| Entity Type | Individual |
| Full Name | DOUGLAS STANLEY WILLIAMS |
| Credential | D.P.M. |
| Practice Address |
53 Poplar St Suite B Blackfoot ID 83221-1737 |
| Practice Telephone | 2087856700 |
| Practice Fax Number | 2087856767 |
| Mailing Telephone | 2087856700 |
| Mailing Fax Number | 2087856767 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2012-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | P-156 | ID | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PD176R | LA | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
P-156 | ID | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | MEDICARE RAILROAD | 480034721 | 01 |
| ID | BLUE SHIELD | 000010015672 | 01 |
| ID | 804309300 | 05 | |
| ID | DMBA | 341488 | 01 |
| ID | DMERC | 461973001 | 01 |
| ID | BLUE CROSS | P1571 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568821544 | Douglas Wade Williams | Massage Therapist | 7919 Nighthawk Trl, Arlington, TX 76002-4197 | 2016-02-18 |
| 1124271721 | Douglas Ray Williams | Hearing Instrument Specialist | 503 W Appleway Ave Ste P, Coeur D Alene, ID 83814-8303 | 2008-10-28 |
| 1447463724 | Douglas Wayne Williams | Pharmacist | 1011 Se 4th Ter, Lees Summit, MO 64063-3221 | 2007-05-07 |
| 1952447559 | Douglas Lawrence Williams | Chiropractor | 134 Executive Dr, Suite 3, Lafayette, IN 47905 | 2007-01-30 |
| 1164585642 | Douglas Russell Williams | Dentist | 110 4th St Nw, Bemidji, MN 56601-3103 | 2006-12-18 |
| 1205921897 | Douglas P Williams | Dentist | 2220 N. Moorpark Rd., 101, Thousand Oaks, CA 91360-3168 | 2006-10-03 |
| 1013944800 | Douglas Williams | Nurse Practitioner | 333 Keen Street, Burkesville, KY 42717 | 2006-06-27 |
| 1821088659 | Douglas Robert Williams | Optometrist | 6042 Warner Ave, Huntington Beach, CA 92647-5568 | 2005-10-24 |
| 1821087396 | Douglas N Williams | Psychologist | 380 Union St, Suite 107, West Springfield, MA 01089-4123 | 2005-10-18 |
| 1528051208 | Douglas Paul Williams | Psychiatry & Neurology | 3183 W State St, Suite 1201, Bristol, TN 37620-1712 | 2005-08-26 |
| Street Address |
53 POPLAR ST SUITE B |
| City | BLACKFOOT |
| State | ID |
| Zip Code | 83221-1737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245236322 | Gail Everett Fields | Orthopaedic Surgery | 53 Poplar St, Blackfoot, ID 83221-1737 | 2005-06-23 |
| 1285947705 | Advanced Foot & Ankle Center, LLC | Podiatrist | 53 Poplar St, Suite B, Blackfoot, ID 83221-1737 | 2010-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932711165 | Samantha Paige Averett | Social Worker | 60 N Broadway, Blackfoot, ID 83221 | 2020-08-19 |
| 1730711656 | Sara Marie Letham | Family Medicine | 33 S Thompson Lane, Blackfoot, ID 83221 | 2020-02-08 |
| 1962994962 | Tyler Thomas Wood | Student in an Organized Health Care Education/Training Program | 98 Poplar Street, Blackfoot, Id 83221, Blackfoot, ID 83221 | 2018-06-05 |
| 1801336276 | Bmh, Inc. | Internal Medicine | 235 Poplar St, Blackfoot, ID 83221 | 2017-03-03 |
| 1497119804 | Susan Doran | Social Worker | 720 E. Alice, Blackfoot, ID 83221 | 2016-04-12 |
| 1427412121 | Josie Russell Adkins | Counselor | 720 East Alice, Blackfoot, ID 83221 | 2016-04-08 |
| 1740590314 | Ashley Nichole Thomas | Physician Assistant | 710 E. Alice Street, Blackfoot, ID 83221 | 2010-10-18 |
| 1528373313 | Stephanie Lynn Henderson | Dietitian, Registered | 1555 Vernon Ave, Blackfoot, ID 83221 | 2010-08-17 |
| 1184850141 | Joy H. Taylor | Nurse Practitioner | 1441 Parkway Drive, Blackfoot, ID 83221 | 2009-06-04 |
| 1427232925 | Nathan E. Sneddon | Anesthesiology | 98 Poplar St Fl 3, Blackfoot, ID 83221 | 2007-12-20 |
| Find all providers in zip 83221 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558633628 | Darin Gambles | Podiatrist | 1495 Parkway Dr, Suite B, Blackfoot, ID 83221-1638 | 2012-02-03 |
| 1013139898 | Dan Earl Robinson | Podiatrist | 98 Poplar St, Blackfoot, ID 83221-1758 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518225929 | Clark A Johnson | Podiatrist | 3120 W Belltower Dr Ste 100, Meridian, ID 83646-7744 | 2012-04-24 |
| 1396023446 | Kurt Earl Kinghorn | Podiatrist | 1828 S Millenium Way Ste 200, Meridian, ID 83642-5036 | 2011-07-22 |
| 1649506536 | James Rex Cutler | Podiatrist | 76 E 1st S, Rexburg, ID 83440-1936 | 2009-10-27 |
| 1174756316 | Daniel Matthew Wettstein | Podiatrist | 476 Cheney Drive West, Twin Falls, ID 83301 | 2009-09-03 |
| 1578576732 | Bruce G Tolman | Podiatrist | 1540 Elk Creek Dr, Idaho Falls, ID 83404-8322 | 2006-08-15 |
| 1679514186 | Ryan Averett Dpm PC | Podiatrist | 2221 W Ironwood Center Dr, Coeur D Alene, ID 83814-2697 | 2006-06-08 |
| 1245216647 | Kert W Howard | Podiatrist | 1555 E Clark St, Pocatello, ID 83201-4133 | 2005-12-16 |
| 1093717787 | Richard Michael Allen | Podiatrist | 1630 23rd Ave, Suite 1001, Lewiston, ID 83501-6350 | 2005-08-11 |
| 1447257076 | Bradley J Capawana | Podiatrist | 619 S Washington St, Ste 103, Moscow, ID 83843-3090 | 2005-06-28 |
| 1326042045 | Michael J Drager | Podiatrist | 850 W Ironwood Dr, Ste 301, Coeur D Alene, ID 83814-4903 | 2005-06-09 |
| Find all providers with the same taxonomy | ||||
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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.