Desiree D Williams
MICHIANA GASTROENTEROLOGY, INC


Address: 1919 Lake Ave, Suite 107, Plymouth, IN 46563-7830
Phone: 5747808602

Desiree D Williams (NPI# 1548502495, PAC ID# 0446479083) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1548502495
PAC ID by PECOS 0446479083
Professional Enrollment ID I20140915001186
Full Name Desiree D Williams
Organization Legal Name MICHIANA GASTROENTEROLOGY, INC
Address 1919 Lake Ave
Suite 107
Plymouth
IN 46563-7830
Phone Number 5747808602
Gender F
Graduation Year 2012
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 2163529892
Number of Group Practice Members 12
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
150012 SAINT JOSEPH REGIONAL MEDICAL CENTER
150058 MEMORIAL HOSPITAL OF SOUTH BEND
150076 SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH

Other Locations

Address Phone Organization
1919 Lake Ave, Suite 107, Plymouth, IN 46563-7830 5747808602 MICHIANA GASTROENTEROLOGY, INC
17501 Generations Dr, South Bend, IN 46635-1589 5742340049 MICHIANA GASTROENTEROLOGY, INC

Organization Information

Organization Legal Name MICHIANA GASTROENTEROLOGY, INC
Physicians 12

Physicians with the same organization

Name Specialty Organization Address
Seth Fredric Tatel Gastroenterology Michiana Gastroenterology, Inc 17501 Generations Dr, South Bend, IN 46635-1589
Sonali Shukla Pathology Michiana Gastroenterology, Inc 53830 Generations Dr, South Bend, IN 46635-1557
Pankaj A Patel Internal Medicine Michiana Gastroenterology, Inc 1919 Lake Ave, Suite 107, Plymouth, IN 46563-7830
Lisa A Ostrowski Pathology Michiana Gastroenterology, Inc 53830 Generations Dr, South Bend, IN 46635-1557
John G Mathis Internal Medicine Michiana Gastroenterology, Inc 1919 Lake Ave, Suite 107, Plymouth, IN 46563-7830
Oliver D Gilliam Internal Medicine Michiana Gastroenterology, Inc 1919 Lake Ave, Suite 107, Plymouth, IN 46563-7830
Thomas R Vanderheyden Jr. Internal Medicine Michiana Gastroenterology, Inc 1919 Lake Ave, Suite 107, Plymouth, IN 46563-7830
Ashley B Obannon Pathology Michiana Gastroenterology, Inc 53830 Generations Dr, South Bend, IN 46635-1557
Michael A Manbeck Internal Medicine Michiana Gastroenterology, Inc 1919 Lake Ave, Suite 107, Plymouth, IN 46563-7830
Ravi J Patel Internal Medicine Michiana Gastroenterology, Inc 17501 Generations Dr, South Bend, IN 46635-1589

Office Location

Street Address 1919 LAKE AVE
SUITE 107
City PLYMOUTH
State IN
Zip 46563-7830

Physicians in the same location

Name Specialty Organization Address
Jennifer Friberg Nurse Practitioner Saint Joseph Regional Medical Center Inc 1919 Lake Ave, Suite 104, Plymouth, IN 46563-7830
Pankaj A Patel Internal Medicine Michiana Gastroenterology, Inc 1919 Lake Ave, Suite 107, Plymouth, IN 46563-7830
Maher D Abu-hamdan Otolaryngology Allied Physicians of Michiana, LLC 1919 Lake Ave, Suite 107, Plymouth, IN 46563-7830
Michael Pfeiffer Otolaryngology Allied Physicians of Michiana, LLC 1919 Lake Ave, Suite 107, Plymouth, IN 46563-7830
Cynthia S.b. Tucker Obstetrics/gynecology Saint Joseph Regional Medical Center Inc 1919 Lake Ave, Suite 106, Plymouth, IN 46563-7830
Chuck G Nwakanma Critical Care (intensivists) Saint Joseph Regional Medical Center Plymouth Campus Inc 1919 Lake Ave, Suite 102b, Plymouth, IN 46563-7830
John G Mathis Internal Medicine Michiana Gastroenterology, Inc 1919 Lake Ave, Suite 107, Plymouth, IN 46563-7830
Oliver D Gilliam Internal Medicine Michiana Gastroenterology, Inc 1919 Lake Ave, Suite 107, Plymouth, IN 46563-7830
Thomas R Vanderheyden Jr. Internal Medicine Michiana Gastroenterology, Inc 1919 Lake Ave, Suite 107, Plymouth, IN 46563-7830
Gary J Rogers Podiatry 1919 Lake Ave, Suite A, Wilmette, IL 60091-1480
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Rosalie M Regedanz Physical Therapy 440 W Jefferson St, Plymouth, IN 46563-1646
Amber D Trump Physical Therapy Robert J Amico Pt Inc 576 N Oak Dr, Plymouth, IN 46563-1664
Nanette M Fredericks Clinical Social Worker 322 W Jefferson St, Plymouth, IN 46563-1734
Mary E Schwartz Podiatry 116 E Washington St, Plymouth, IN 46563-1744
Jillorna Ann Uceny Clinical Social Worker 310 N Michigan St, Suite 208, Plymouth, IN 46563-1753
Rebecca Brice Pediatric Medicine Saint Joseph Regional Medical Center Plymouth Campus Inc 510 W Adams St, Suite 150, Plymouth, IN 46563-1789
Tiffany T Richards Nurse Practitioner Saint Joseph Regional Medical Center Plymouth Campus Inc 510 W Adams St, Suite 150, Plymouth, IN 46563-1789
Jill M Geer Nurse Practitioner Saint Joseph Regional Medical Center Plymouth Campus Inc 510 W Adams St, Suite 150, Plymouth, IN 46563-1789
Dawn Lee Heckathorn Nurse Practitioner Saint Joseph Regional Medical Center Plymouth Campus Inc 510 W Adams St, Suite 150, Plymouth, IN 46563-1789
Margaret T Snyder Psychologist, Clinical 505 Colonial Ct, Plymouth, IN 46563-1860
Find all physicians in zip 46563

Competitor

Search similar physicians

City PLYMOUTH
Zip Code 46563
Specialty NURSE PRACTITIONER
City + Specialty PLYMOUTH + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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