Sandra Williams (NPI# 1639380447, PAC ID# 3274671268) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1639380447 |
| PAC ID by PECOS | 3274671268 |
| Professional Enrollment ID | I20091111000713 |
| Full Name | Sandra Williams |
| Organization Legal Name | CJW ENTERPRISES, INC. |
| Address |
100 Brevco Plaza Suite 107 Lake Saint Louis MO 63367-1392 |
| Phone Number | 6365618100 |
| Gender | F |
| Graduation Year | 1997 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9537293816 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2621 College Ave, Alton, IL 62002-4706 | 6182080644 | CJW ENTERPRISES, INC. |
| 100 Brevco Plaza, Suite 107, Lake Saint Louis, MO 63367-1392 | 6365618100 | CJW ENTERPRISES, INC. |
| 100 Brevco Plaza, Lake Saint Louis, MO 63367-1392 | 6365618100 | CJW ENTERPRISES, INC. |
| 9915 Kennerly Rd J, Saint Louis, MO 63128-2703 | 3148434794 | CJW ENTERPRISES, INC. |
| Organization Legal Name | CJW ENTERPRISES, INC. |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie L Graham | Nurse Practitioner | Cjw Enterprises, Inc. | 100 Brevco Plaza, Suite 107, Lake Saint Louis, MO 63367-1392 |
| Becky J Ganz | Nurse Practitioner | Cjw Enterprises, Inc. | 3511 College Ave, Alton, IL 62002-5009 |
| Erin M Holloway | Nurse Practitioner | Cjw Enterprises, Inc. | 9915 Kennerly Rd J, Saint Louis, MO 63128-2703 |
| Barbara Ann Mulholland-younge | Nurse Practitioner | Cjw Enterprises, Inc. | 805 Collins Dr, Festus, MO 63028-2346 |
| Laura L Hill | Nurse Practitioner | Cjw Enterprises, Inc. | 9915 Kennerly Rd J, Saint Louis, MO 63128-2703 |
| Melissa A Grizzle | Nurse Practitioner | Cjw Enterprises, Inc. | 9915 Kennerly Rd J, Saint Louis, MO 63128-2703 |
| Siroth Charnond | Internal Medicine | Cjw Enterprises, Inc. | 9915 Kennerly Rd J, Saint Louis, MO 63128-2703 |
| Charles Willey | Internal Medicine | Cjw Enterprises, Inc. | 9915 Kennerly Rd J, Saint Louis, MO 63128-2703 |
| Monica L Dunn | Nurse Practitioner | Cjw Enterprises, Inc. | 9915 Kennerly Rd J, Saint Louis, MO 63128-2703 |
| Albert Wayne Scrimsher Jr. | Nurse Practitioner | Cjw Enterprises, Inc. | 805 Collins Dr, Festus, MO 63028-2346 |
| Street Address |
100 BREVCO PLAZA SUITE 107 |
| City | LAKE SAINT LOUIS |
| State | MO |
| Zip | 63367-1392 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie L Graham | Nurse Practitioner | Cjw Enterprises, Inc. | 100 Brevco Plaza, Suite 107, Lake Saint Louis, MO 63367-1392 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James David Sills Powell | Podiatry | 1309 Lake Saint Louis Blvd, Lake Saint Louis, MO 63367-1322 | |
| Victoria Lynn Hines | Nurse Practitioner | Forest Physician Services, LLP | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| Patrick D Farrell | Family Medicine | Forest Physician Services, LLP | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| John Long | Anesthesiology | Metro-west Anesthesia Group Inc | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| Gregory Dewitt Folkert | Emergency Medicine | Lake Forest Emergency Group LLC | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| Akiko Okabe | Nurse Practitioner | Southeastern Physician Services PC | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| Kathleen H Kidd | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| Vincent Lawrence Boston | Emergency Medicine | Lake Forest Emergency Group LLC | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| Justin Rapoff | Emergency Medicine | Lake Forest Emergency Group LLC | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| Sebastian Puig | Internal Medicine | Forest Physician Services, LLP | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| Find all physicians in zip 63367 | |||
| City | LAKE SAINT LOUIS |
| Zip Code | 63367 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LAKE SAINT LOUIS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Sandra 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.