DR. VAN WAGNER WILLIAMS III (NPI# 1942404066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942404066 |
| Entity Type | Individual |
| Full Name | DR. VAN WAGNER WILLIAMS III |
| Credential | M.D. MPH |
| Practice Address |
16492 Mlc Ln Rockville VA 23146-1857 |
| Practice Telephone | 8046203365 |
| Practice Fax Number | 8046203178 |
| Mailing Telephone | 8046203365 |
| Mailing Fax Number | 8046203178 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207Q00000X | Family Medicine | 0101044104 | VA | Allopathic & Osteopathic Physicians |
| X | 208000000X | Pediatrics | 0101044104 | VA | Allopathic & Osteopathic Physicians |
| X | 208D00000X | General Practice | 0101044104 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | DEA NUMBER | BW2186787 | 01 |
| VA | STATE LICENSE | 0101044104 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871092841 | Van Williams | Behavior Technician | 3401 Nw 187th Ter, Miami Gardens, FL 33056-2927 | 2018-02-06 |
| 1871719716 | Van Charles Williams | Physical Therapist | 3075 Victor Ave, Redding, CA 96002 | 2007-04-18 |
| 1750438339 | Van R Williams | Ophthalmology | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2007-01-04 |
| Street Address |
16492 MLC LN |
| City | ROCKVILLE |
| State | VA |
| Zip Code | 23146-1857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972908200 | Anita Kelly Collins | Family Medicine | 16492 Mlc Ln, Rockville, VA 23146-1857 | 2014-10-29 |
| 1467646851 | Deborah Matthews Boykin | Nurse Practitioner | 16492 Mlc Ln, Suite 605, Rockville, VA 23146-1857 | 2007-08-29 |
| 1285832618 | Donald Wayne Mclaren | Family Medicine | 16492 Mlc Ln, Rockville, VA 23146 | 2007-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013341171 | Surgical Support Services LLC | Surgery | 12439 Walnut Hill Drive, Rockville, VA 23146 | 2013-08-26 |
| 1588895387 | John Robert Rhodeback | Contractor | 11474 Pinhook Rd, Rockville, VA 23146-1507 | 2009-07-29 |
| 1326459132 | John Robert Construction & Repair | Contractor | 11474 Pinhook Rd, Rockville, VA 23146-1507 | 2014-05-14 |
| 1669002705 | Lindsay Foster | Massage Therapist | 13080 Big Rock Ln, Rockville, VA 23146-1546 | 2020-01-16 |
| 1386674323 | Haviland Corporation | Durable Medical Equipment & Medical Supplies | 19411 Explorer Ridge Rd, Rockville, VA 23146-1552 | 2006-07-04 |
| 1144388695 | Tamera Cauthorne-burnette | Nurse Practitioner | 12268 Old Country Rd, Rockville, VA 23146-1627 | 2006-12-05 |
| 1295262038 | Nichole Lafortune | Specialist/Technologist | 17556 Carrington Glen Lane, Rockville, VA 23146-1650 | 2017-05-11 |
| 1881030633 | Cheryl C. Sale | Audiologist | 11501 Primrose Ln, Rockville, VA 23146-1745 | 2013-05-21 |
| 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 |
|---|---|---|---|---|
| 1346727401 | C Abreu Healthcare LLC | Family Medicine | 50 W Edmonston Dr Ste 202, Rockville, MD 20852-1249 | 2018-07-22 |
| 1083063119 | Hua-chuan Sim | Family Medicine | 10960 Bloomingdale Dr, Rockville, MD 20852-5550 | 2016-06-09 |
| 1114373107 | Alisha Tuteja | Family Medicine | 9715 Medical Center Dr Ste 414, Rockville, MD 20850-6310 | 2016-05-09 |
| 1548616931 | Mohammad Darbandi | Family Medicine | 14812 Physicians Lane, 162, Rockville, MD 20850-2085 | 2016-05-04 |
| 1407261704 | Charles Ayowole Olaleye | Family Medicine | 2101 E Jefferson St Ste 6wppqa, Rockville, MD 20852-4908 | 2014-06-25 |
| 1316209596 | Wilhelmina G.camina, Md,pa | Family Medicine | 4912 Adrian Street, Rockville, MD 20853-3106 | 2012-06-13 |
| 1427345669 | Union Hospital, Inc. | Family Medicine | 727 No. Lincoln Rd, Union Hospital Inc. D/b/a Rockville Family Medicine, Rockville, IN 47872-1117 | 2011-07-08 |
| 1376784876 | Macaya Julie Douoguih | Family Medicine | 1405 Research Blvd, Ste 300, Rockville, MD 20850-3108 | 2009-03-12 |
| 1922247519 | Bernard Aloysius Fitzgerald | Family Medicine | 14511 Faraday Drive, Rockville, MD 20853-1941 | 2009-02-05 |
| 1134367139 | Allison Win | Family Medicine | 2401 Research Blvd Ste 102, Rockville, MD 20850-3215 | 2009-01-28 |
| Find all providers in ROCKVILLE | ||||
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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.