Nicholas A Williams (NPI# 1982014049, PAC ID# 7911208160) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1982014049 |
| PAC ID by PECOS | 7911208160 |
| Professional Enrollment ID | I20151214001245 |
| Full Name | Nicholas A Williams |
| Organization Legal Name | ENDOCRINOLOGY SERVICES NORTHWEST, LLC |
| Address |
929 Sw Simpson Ave Suite 220 Bend OR 97702-3599 |
| Phone Number | 5413175600 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0840347415 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 381313 | ST CHARLES PRINEVILLE |
| 380040 | ST CHARLES REDMOND |
| 380047 | ST CHARLES MEDICAL CENTER - BEND |
| 381324 | ST CHARLES MADRAS |
| 381305 | BLUE MOUNTAIN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 929 Sw Simpson Ave, Suite 220, Bend, OR 97702-3599 | 5413175600 | ENDOCRINOLOGY SERVICES NORTHWEST, LLC |
| Organization Legal Name | ENDOCRINOLOGY SERVICES NORTHWEST, LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Travis L Monchamp | Endocrinology | Endocrinology Services Northwest, LLC | 929 Sw Simpson Ave, Suite 220, Bend, OR 97702-3599 |
| Dean T Nakadate | Podiatry | Endocrinology Services Northwest, LLC | 929 Sw Simpson Ave, Suite 220, Bend, OR 97702-3599 |
| Patrick J Mccarthy | Endocrinology | Endocrinology Services Northwest, LLC | 929 Sw Simpson Ave, Suite 220, Bend, OR 97702-3599 |
| Stacy S Caldwell | Physician Assistant | Endocrinology Services Northwest, LLC | 929 Sw Simpson Ave, Suite 220, Bend, OR 97702-3599 |
| Street Address |
929 SW SIMPSON AVE SUITE 220 |
| City | BEND |
| State | OR |
| Zip | 97702-3599 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eden M Miller | Family Medicine | Praxis Medical Group Inc | 929 Sw Simpson Ave, High Lakes Health Care, Bend, OR 97702-3118 |
| David J Kelly | Family Medicine | Praxis Medical Group Inc | 929 Sw Simpson Ave, High Lakes Health Care, Bend, OR 97702-3118 |
| Theodore R Ford | Interventional Pain Management | Bend Spine and Pain Specialists, LLC | 929 Sw Simpson Ave, Suite 250, Bend, OR 97702-3599 |
| Breanna L Percell | Family Medicine | Praxis Medical Group Inc | 929 Sw Simpson Ave, High Lakes Health Care, Bend, OR 97702-3118 |
| Dawn Headings | Nurse Practitioner | Praxis Medical Group Inc | 929 Sw Simpson Ave, High Lakes Health Care, Bend, OR 97702-3118 |
| Whitney K Drew | Physician Assistant | Praxis Medical Group Inc | 929 Sw Simpson Ave, High Lakes Health Care, Bend, OR 97702-3118 |
| Jamie J Freeman | Physician Assistant | Praxis Medical Group Inc | 929 Sw Simpson Ave, High Lakes Health Care, Bend, OR 97702-3118 |
| Travis L Monchamp | Endocrinology | Endocrinology Services Northwest, LLC | 929 Sw Simpson Ave, Suite 220, Bend, OR 97702-3599 |
| Derek T Earl | Family Medicine | Praxis Medical Group Inc | 929 Sw Simpson Ave, High Lakes Health Care, Bend, OR 97702-3118 |
| Eric Luther Sorenson | Physician Assistant | Praxis Medical Group Inc | 929 Sw Simpson Ave, High Lakes Health Care, Bend, OR 97702-3118 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ray J Gertler | Psychologist, Clinical | 1012 Sw Emkay Dr, Bend, OR 97702-1010 | |
| Alan Werkman | Clinical Social Worker | 1012 Sw Emkay Dr, Bend, OR 97702-1010 | |
| David J Goldstein | Psychologist, Clinical | 1012 Sw Emkay Dr, Bend, OR 97702-1010 | |
| Ellen M Eisman | Psychologist, Clinical | 1012 Sw Emkay Dr, Bend, OR 97702-1010 | |
| Judith A Clements | Clinical Psychologist | 1012 Sw Emkay Dr, Bend, OR 97702-1010 | |
| Travis A Sammon | Clinical Social Worker | 15 Sw Colorado Ave, Suite 350, Bend, OR 97702-1130 | |
| Anne Van Dusen | Clinical Social Worker | 15 Sw Colorado Ave, Suite 350, Bend, OR 97702-1130 | |
| Jillian Sammon | Clinical Social Worker | 15 Sw Colorado Ave, 350 Life Balance Bend LLC, Bend, OR 97702-1130 | |
| Emmy W Lawrason-kobobel | Osteopathic Manipulative Medicine | Bend Osteopathic Care PC | 147 Sw Shevlin Hixon Dr, Bend, OR 97702-1137 |
| Gary L Gallagher | Plastic and Reconstructive Surgery | 777 Sw Mill View Way, Suite 100, Bend, OR 97702-1140 | |
| Find all physicians in zip 97702 | |||
| City | BEND |
| Zip Code | 97702 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BEND + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Nicholas A 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.