Nickolas Allen Williams (NPI# 1548558950, PAC ID# 9537338280) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1548558950 |
| PAC ID by PECOS | 9537338280 |
| Professional Enrollment ID | I20110815000101 |
| Full Name | Nickolas Allen Williams |
| Organization Legal Name | BONUTTI ORTHOPEDIC SERVICES LTD |
| Address |
1000 Health Ctr Dr Mattoon IL 61938-9253 |
| Phone Number | 2172582525 |
| Gender | M |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7012985328 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140189 | SARAH BUSH LINCOLN HEALTH CENTER |
| 140032 | ST ANTHONYS MEMORIAL HOSPITAL |
| 141321 | FRANKLIN HOSPITAL |
| 141307 | PINCKNEYVILLE COMMUNITY HOSPITAL |
| 140034 | SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA |
| Address | Phone | Organization |
|---|---|---|
| 1303 W Evergreen Ave, Effingham, IL 62401-1638 | 21734234002414 | BONUTTI ORTHOPEDIC SERVICES LTD |
| 1000 Health Ctr Dr, Mattoon, IL 61938-9253 | 2172582525 | BONUTTI ORTHOPEDIC SERVICES LTD |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | BONUTTI ORTHOPEDIC SERVICES LTD |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank S Lee | Orthopedic Surgery | Bonutti Orthopedic Services Ltd | 1303 W Evergreen Ave, Effingham, IL 62401-1638 |
| Joseph M Ajdinovich | Orthopedic Surgery | Bonutti Orthopedic Services Ltd | 1303 W Evergreen Ave, Effingham, IL 62401-1638 |
| Timothy J. Gray | Orthopedic Surgery | Bonutti Orthopedic Services Ltd | 1303 W Evergreen Ave, Effingham, IL 62401-1638 |
| Thomas L Williams | Physician Assistant | Bonutti Orthopedic Services Ltd | 1303 W Evergreen Ave, Effingham, IL 62401-1638 |
| Didi E Omiyi | Orthopedic Surgery | Bonutti Orthopedic Services Ltd | 1303 W Evergreen Ave, Effingham, IL 62401-1638 |
| Jennifer Jean Hess | Nurse Practitioner | Bonutti Orthopedic Services Ltd | 1303 W Evergreen Ave, Effingham, IL 62401-1638 |
| Karl S. Rudert | Emergency Medicine | Bonutti Orthopedic Services Ltd | 1303 W Evergreen Ave, Suite 101, Effingham, IL 62401-1619 |
| Street Address |
1000 HEALTH CTR DR |
| City | MATTOON |
| State | IL |
| Zip | 61938-9253 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori L Cudone | Otolaryngology | Sarah Bush Lincoln Health Center | 1000 Health Ctr Dr, Mattoon, IL 61938-9253 |
| Dominic C Perrino | Family Medicine | Sarah Bush Lincoln Health Center | 1000 Health Ctr Dr, Suite 107, Mattoon, IL 61938-9253 |
| Michael A Hoks Jr. | Emergency Medicine | Sarah Bush Lincoln Health Center | 1000 Health Ctr Dr, Mattoon, IL 61938-9253 |
| Rupal R Parmar | Pathology | Sarah Bush Lincoln Health Center | 1000 Health Ctr Dr, Mattoon, IL 61938-9253 |
| Alexis Ayonote | Gastroenterology | Sarah Bush Lincoln Health Center | 1000 Health Ctr Dr, Suite 204, Mattoon, IL 61938-9253 |
| Allan J Schwartz | Certified Registered Nurse Anesthetist (crna) | Sarah Bush Lincoln Health Center | 1000 Health Ctr Dr, Mattoon, IL 61938-9253 |
| Robert J Michaelson | Anesthesiology | Sarah Bush Lincoln Health Center | 1000 Health Ctr Dr, Mattoon, IL 61938-9253 |
| Ann M Schoen | Certified Registered Nurse Anesthetist (crna) | Sarah Bush Lincoln Health Center | 1000 Health Ctr Dr, Mattoon, IL 61938-9253 |
| Erin M Hein | Certified Registered Nurse Anesthetist (crna) | Sarah Bush Lincoln Health Center | 1000 Health Ctr Dr, Mattoon, IL 61938-9253 |
| Richard D Nguyen | Internal Medicine | Sarah Bush Lincoln Health Center | 1000 Health Ctr Dr, Mattoon, IL 61938-9253 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly L Helms | Chiropractic | 1804 Broadway Ave, Mattoon, IL 61938-3806 | |
| Terry A Ward | Chiropractic | 1616 Lafayette Ave, Mattoon, IL 61938-3926 | |
| Hunter D Hout | Chiropractic | 905 Remington Rd, Mattoon, IL 61938-4210 | |
| Garrett B Buell | Chiropractic | 905 Remington Rd, Mattoon, IL 61938-4210 | |
| Jamie Devon Stephens | Chiropractic | 801 Broadway Ave, Mattoon, IL 61938-4211 | |
| William S Selvidge | Chiropractic | 608 Broadway Ave, Mattoon, IL 61938-4321 | |
| Tina M Funk | Optometry | 420 Broadway Ave E, Mattoon, IL 61938-4604 | |
| Lars A Gentry | Optometry | 420 Broadway Ave E, Mattoon, IL 61938-4604 | |
| Rachel Stuckey | Clinical Social Worker | Coles County Mental Health Association Inc | 750 Broadway Ave E, Mattoon, IL 61938-4610 |
| Zehra I Rowjee | Psychiatry | Southern Illinois Healthcare Foundation, Inc. | 750 Broadway Ave E, Mattoon, IL 61938-4610 |
| Find all physicians in zip 61938 | |||
| City | MATTOON |
| Zip Code | 61938 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MATTOON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Nickolas Allen 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.