Mark S Williams (NPI# 1114961166, PAC ID# 1557328184) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SPORTS MEDICINE.
| Nation Provider ID (NPI) | 1114961166 |
| PAC ID by PECOS | 1557328184 |
| Professional Enrollment ID | I20100820000660 |
| Full Name | Mark S Williams |
| Organization Legal Name | DIRECT ORTHOPEDIC CARE LLC |
| Address |
16818 N Marketplace Blvd Nampa ID 83687-5140 |
| Phone Number | 2083214000 |
| Gender | M |
| Credential | MD |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | SPORTS MEDICINE |
| Group Practice PAC ID | 2163648155 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130071 | ST LUKE'S NAMPA MEDICAL CENTER |
| 130013 | SAINT ALPHONSUS MEDICAL CENTER - NAMPA |
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 16818 N Marketplace Blvd, Nampa, ID 83687-5140 | 2083214000 | DIRECT ORTHOPEDIC CARE LLC |
| Organization Legal Name | DIRECT ORTHOPEDIC CARE LLC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott T Ward | Physician Assistant | Direct Orthopedic Care LLC | 16818 N Marketplace Blvd, Nampa, ID 83687-5140 |
| Margaret B Holmes | Physician Assistant | Direct Orthopedic Care LLC | 7979 W Rifleman St, Suite 110, Boise, ID 83704-9066 |
| Jennifer V Abraham | Physician Assistant | Direct Orthopedic Care LLC | 16818 N Marketplace Blvd, Nampa, ID 83687-5140 |
| Thomas W Tryon | Physician Assistant | Direct Orthopedic Care LLC | 16818 N Marketplace Blvd, Nampa, ID 83687-5140 |
| Scott M Astley | Physician Assistant | Direct Orthopedic Care LLC | 7979 W Rifleman St, Suite 110, Boise, ID 83704-9066 |
| Lindsey J Carmichael | Physician Assistant | Direct Orthopedic Care LLC | 7979 W Rifleman St, Suite 110, Boise, ID 83704-9066 |
| Brett J Turner | Physician Assistant | Direct Orthopedic Care LLC | 3015 E Magic View Dr, Suite 115, Meridian, ID 83642-3743 |
| Nathan James Richard | Physician Assistant | Direct Orthopedic Care LLC | 3015 E Magic View Dr, Suite 115, Meridian, ID 83642-3743 |
| Nicole K Nease | Physician Assistant | Direct Orthopedic Care LLC | 16818 N Marketplace Blvd, Nampa, ID 83687-5140 |
| Sean M Hassinger | Orthopedic Surgery | Direct Orthopedic Care LLC | 7979 W Rifleman St, Suite 110, Boise, ID 83704-9066 |
| Street Address |
16818 N MARKETPLACE BLVD |
| City | NAMPA |
| State | ID |
| Zip | 83687-5140 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott T Ward | Physician Assistant | Direct Orthopedic Care LLC | 16818 N Marketplace Blvd, Nampa, ID 83687-5140 |
| David H Clements | Physician Assistant | Allied Orthopaedics LLC | 16818 N Marketplace Blvd, Nampa, ID 83687-5140 |
| Jennifer V Abraham | Physician Assistant | Direct Orthopedic Care LLC | 16818 N Marketplace Blvd, Nampa, ID 83687-5140 |
| Thomas W Tryon | Physician Assistant | Direct Orthopedic Care LLC | 16818 N Marketplace Blvd, Nampa, ID 83687-5140 |
| Nicole K Nease | Physician Assistant | Direct Orthopedic Care LLC | 16818 N Marketplace Blvd, Nampa, ID 83687-5140 |
| Krista Diane Niezwaag | Physician Assistant | Direct Orthopedic Care LLC | 16818 N Marketplace Blvd, Nampa, ID 83687-5140 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jocelyn A Benton | Physician Assistant | Lifestages Ob-gyn Pllc | 3908 E Flamingo Ave, Nampa, ID 83687-3102 |
| Jeffrey Ryan Moreno | Clinical Social Worker | Stellar Mental Health and Mediation, LLC | 3904 E Flamingo Ave, Nampa, ID 83687-3102 |
| Allyson A Bates | Nurse Practitioner | Lifestages Ob-gyn Pllc | 3908 E Flamingo Ave, Nampa, ID 83687-3102 |
| Juliette E Hughes | Obstetrics/gynecology | Lifestages Ob-gyn Pllc | 3908 E Flamingo Ave, Nampa, ID 83687-3102 |
| Jynnah Leigh Snow | Nurse Practitioner | Stellar Mental Health and Mediation, LLC | 3904 E Flamingo Ave, Nampa, ID 83687-3102 |
| Janine M Franco | Physician Assistant | Lifestages Ob-gyn Pllc | 3908 E Flamingo Ave, Nampa, ID 83687-3102 |
| Michelle Chin | Nurse Practitioner | Stellar Mental Health and Mediation, LLC | 3904 E Flamingo Ave, Nampa, ID 83687-3102 |
| Dustan T Hughes | Obstetrics/gynecology | Lifestages Ob-gyn Pllc | 3908 E Flamingo Ave, Nampa, ID 83687-3102 |
| Rick A Heikkila | Clinical Social Worker | Stellar Mental Health and Mediation, LLC | 3904 E Flamingo Ave, Nampa, ID 83687-3102 |
| Christoffer A Spoja | Internal Medicine | Sound Physicians of Idaho | 4300 E Flamingo Ave, Nampa, ID 83687-3138 |
| Find all physicians in zip 83687 | |||
| City | NAMPA |
| Zip Code | 83687 |
| Specialty | SPORTS MEDICINE |
| City + Specialty | NAMPA + SPORTS MEDICINE |
Please comment or provide details below to improve the information on Mark S 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.