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.
| 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 |
| 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 |
| 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 Legal Name | MICHIANA GASTROENTEROLOGY, INC |
| Physicians | 12 |
| 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 |
| Street Address |
1919 LAKE AVE SUITE 107 |
| City | PLYMOUTH |
| State | IN |
| Zip | 46563-7830 |
| 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 | |||
| 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 | |||
| City | PLYMOUTH |
| Zip Code | 46563 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PLYMOUTH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Desiree D Williams.
| 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.