Stacy V Williams (NPI# 1629031984, PAC ID# 1254387111) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1629031984 |
| PAC ID by PECOS | 1254387111 |
| Professional Enrollment ID | I20080524000036 |
| Full Name | Stacy V Williams |
| Organization Legal Name | THE DERMATOLOGY CENTER OF NORTHERN CALIFORNIA, INC. |
| Address |
192 Blue Ravine Rd Suite 100 Folsom CA 95630-4893 |
| Phone Number | 9169833373 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3173666153 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 192 Blue Ravine Rd, Suite 100, Folsom, CA 95630-4893 | 9169833373 | THE DERMATOLOGY CENTER OF NORTHERN CALIFORNIA, INC. |
| Organization Legal Name | THE DERMATOLOGY CENTER OF NORTHERN CALIFORNIA, INC. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David No | Dermatology | The Dermatology Center of Northern California, Inc. | 192 Blue Ravine Rd, Suite 100, Folsom, CA 95630-4893 |
| Insiyah Darugar | Nurse Practitioner | The Dermatology Center of Northern California, Inc. | 192 Blue Ravine Rd, Suite 100, Folsom, CA 95630-4893 |
| Street Address |
192 BLUE RAVINE RD SUITE 100 |
| City | FOLSOM |
| State | CA |
| Zip | 95630-4893 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David No | Dermatology | The Dermatology Center of Northern California, Inc. | 192 Blue Ravine Rd, Suite 100, Folsom, CA 95630-4893 |
| Insiyah Darugar | Nurse Practitioner | The Dermatology Center of Northern California, Inc. | 192 Blue Ravine Rd, Suite 100, Folsom, CA 95630-4893 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Savita D Kumar | Clinical Social Worker | 7210 Pine Grove Way, Folsom, CA 95630-1922 | |
| Geoffrey A Allen | Chiropractic | 9477 Greenback Ln, Suite 520, Folsom, CA 95630-2087 | |
| Gina E Nelson | Clinical Social Worker | 555 Oakdale St, Suite D, Folsom, CA 95630-2451 | |
| Heather M Serpa | Chiropractic | Serpa Chiropractic Inc. | 513 Natoma St, Folsom, CA 95630-2523 |
| David J Serpa | Chiropractic | Serpa Chiropractic Inc. | 513 Natoma St, Folsom, CA 95630-2523 |
| William R Bassett | Physical Therapy | Body Concepts Inc. | 705 Gold Lake Dr, Suite 350, Folsom, CA 95630-2558 |
| Donald Gutman | Internal Medicine | 510 Mill St, Folsom, CA 95630-2607 | |
| William J Garcia | Physical Therapy | Folsom Physical Therapy and Training Center | 115 Natoma St, Training Cntr, Folsom, CA 95630-2615 |
| Michael J Moore | Physical Therapy | Folsom Physical Therapy and Training Center | 115 Natoma St, Training Cntr, Folsom, CA 95630-2615 |
| Timothy E Mcgonigle | Physical Therapy | Folsom Physical Therapy and Training Center | 115 Natoma St, Training Cntr, Folsom, CA 95630-2615 |
| Find all physicians in zip 95630 | |||
| City | FOLSOM |
| Zip Code | 95630 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FOLSOM + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Stacy V 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.