George Russell Williams IIi (NPI# 1588603609, PAC ID# 8729182472) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1588603609 |
| PAC ID by PECOS | 8729182472 |
| Professional Enrollment ID | I20070405000211 |
| Full Name | George Russell Williams IIi |
| Organization Legal Name | A RENEWED MIND |
| Address |
885 Commerce Dr Perrysburg OH 43551-5267 |
| Phone Number | 4193301050 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF OHIO |
| Graduation Year | 1988 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 5890947121 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 361333 | FULTON COUNTY HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 885 Commerce Dr, Perrysburg, OH 43551-5267 | 4193301050 | A RENEWED MIND |
| Organization Legal Name | A RENEWED MIND |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Lau | Nurse Practitioner | A Renewed Mind | 1832 Adams St, Toledo, OH 43604-4428 |
| Danyel Parker | Nurse Practitioner | A Renewed Mind | 1895 Oakwood Ave, Napoleon, OH 43545-9243 |
| Irma D Santiago | Addiction Medicine | A Renewed Mind | 885 Commerce Dr, Perrysburg, OH 43551-5267 |
| Sherry G Mcdonald | Clinical Social Worker | A Renewed Mind | 1624 Tiffin Ave, Suite D, Findlay, OH 45840-6852 |
| Anyse J Storey | Addiction Medicine | A Renewed Mind | 1090 W S Boundary St, Suite 600, Perrysburg, OH 43551-5249 |
| Christine E Mcvay | Clinical Social Worker | A Renewed Mind | 885 Commerce Dr, Perrysburg, OH 43551-5267 |
| Kara Jeanine Reilly | Nurse Practitioner | A Renewed Mind | 885 Commerce Dr, Perrysburg, OH 43551-5267 |
| Ronald L Boudouris | Clinical Social Worker | A Renewed Mind | 1090 W S Boundary St, Suite 600, Perrysburg, OH 43551-5249 |
| Cheryl A Shepard | Clinical Social Worker | A Renewed Mind | 885 Commerce Dr, Perrysburg, OH 43551-5267 |
| Jeanne M Holup | Psychiatry | A Renewed Mind | 1090 W S Boundary St, Suite 600, Perrysburg, OH 43551-5249 |
| Street Address |
885 COMMERCE DR |
| City | PERRYSBURG |
| State | OH |
| Zip | 43551-5267 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Irma D Santiago | Addiction Medicine | A Renewed Mind | 885 Commerce Dr, Perrysburg, OH 43551-5267 |
| Christine E Mcvay | Clinical Social Worker | A Renewed Mind | 885 Commerce Dr, Perrysburg, OH 43551-5267 |
| Kara Jeanine Reilly | Nurse Practitioner | A Renewed Mind | 885 Commerce Dr, Perrysburg, OH 43551-5267 |
| Cheryl A Shepard | Clinical Social Worker | A Renewed Mind | 885 Commerce Dr, Perrysburg, OH 43551-5267 |
| Monica S Slovak | Clinical Social Worker | A Renewed Mind | 885 Commerce Dr, Perrysburg, OH 43551-5267 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kanchan Pillai | Internal Medicine | Promedica Central Physicians LLC | 25950 N Dixie Hwy, Perrysburg, OH 43551 |
| Kellen Catherine Goldschmidt | Obstetrics/gynecology | Promedica Central Physicians LLC | 25950 N Dixie Hwy, Perrysburg, OH 43551 |
| Mahmood Darr | Internal Medicine | Promedica Central Physicians LLC | 25950 N Dixie Hwy, Perrysburg, OH 43551 |
| Randy Climo | Family Medicine | Randy L. Climo, M.d., Inc. | 1401 Rivercrest Dr, Perrysburg, OH 43551-1095 |
| Scott M Galenski | Certified Clinical Nurse Specialist (cns) | Prohealth Physician Group LLC | 12611 Eckel Junction Rd, Perrysburg, OH 43551-1304 |
| Melissa Kay Amonette | Emergency Medicine | Riverwood Emergency Services Inc | 12621 Eckel Junction Rd, Perrysburg, OH 43551-1304 |
| Todd R Tamlyn | General Surgery | Mercy Health Physicians - North, LLC. | 12623 Eckel Junction Rd, Perrysburg, OH 43551-1304 |
| Constance P Cashen | General Surgery | Toledo Surgical Associates, Inc. | 12621 Eckel Junction Rd, Suite 2800, Perrysburg, OH 43551-1304 |
| Bettina I Nazemi | General Surgery | Toledo Surgical Associates, Inc. | 12621 Eckel Junction Rd, Suite 2800, Perrysburg, OH 43551-1304 |
| Saebom Lee | Anesthesiology | Northstar Anesthesia of Ohio LLC | 12621 Eckel Junction Rd, Perrysburg, OH 43551-1304 |
| Find all physicians in zip 43551 | |||
| City | PERRYSBURG |
| Zip Code | 43551 |
| Specialty | PSYCHIATRY |
| City + Specialty | PERRYSBURG + PSYCHIATRY |
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| 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.