MRS. MICHELLE E WILLIAMS

Address: 100 N Eagle Creek Dr, Lexington, KY 40509-1805
Phone: 8592585353

MRS. MICHELLE E WILLIAMS (NPI# 1265401038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265401038
Entity Type 1 - Individual
Full Name MRS. MICHELLE E WILLIAMS
Other Name MISS MICHELLE ERWAY
Credential P.A.-C.
Practice Address 100 N Eagle Creek Dr
Lexington
KY 40509-1805
Practice Telephone 8592585353
Practice Fax Number 8592585335
Enumeration Date 03/15/2006
Last Update Date 06/28/2013
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA929 KY Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
PA929 KY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CAQH 11487090 01
KY CHI C60181 01
KY CHA 1223514 01
KY 95005724 05
VA 10207029 05
TAX ID NUMBER 611274508 01
KY PASSPORT HEALTH PLAN 50007746 01
KY BLUE CROSS BLUE SHIELD 000000381759 01

Office Location

Street Address 100 N EAGLE CREEK DR
City LEXINGTON
State KY
Zip Code 40509-1805

Providers with the same location

NPI Name Address
1881698744 MS. KIM N. FRANKLIN 100 N Eagle Creek Dr, Lexington, KY 40509-1805
1760487672 JULIE L. TUDOR 100 N Eagle Creek Dr, Lce-1, Lexington, KY 40509-1805
1487652103 SURESH REKHRAJ 100 N Eagle Creek Dr, Lexington, KY 40509-1805
1598712226 DR. USHA RANI GUTTI 100 N Eagle Creek Dr, Lexington, KY 40509-1805
1548290596 HARRY DERDERIAN 100 N Eagle Creek Dr, Lexington, KY 40509-1805
1679504104 LISA QI FENG 100 N Eagle Creek Dr, Lexington, KY 40509-1805
1417988742 KIMBERLY A. DIXON 100 N Eagle Creek Dr, Lexington, KY 40509-1805
1295766491 WILLIAM CORNELIUS GREENMAN 100 N Eagle Creek Dr, Lexington, KY 40509-1805
1669405858 NELSON LAMKIN JR. 100 N Eagle Creek Dr, Lexington, KY 40509-1805
1215961669 JOHN W. COLLINS 100 N Eagle Creek Dr, Lexington, KY 40509-1805

Competitor

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City LEXINGTON
Zip Code 40509

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.