Provider Demographics
NPI:1679530505
Name:WILLIAMS, STEPHEN H (MD)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:H
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:9015 ARBOR ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-2056
Mailing Address - Country:US
Mailing Address - Phone:402-391-6623
Mailing Address - Fax:402-391-6983
Practice Address - Street 1:9015 ARBOR ST
Practice Address - Street 2:SUITE 106
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-2056
Practice Address - Country:US
Practice Address - Phone:402-391-6623
Practice Address - Fax:402-391-6983
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE16482207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE01-00109OtherUNITED HEALTH CARE
NE010017056OtherRAILROAD RETIREMENT
NE40761601700Medicaid
NE470616017OtherBLUE CROSS BLUE SHIELD
NE88009OtherCOVENTRY
NE092156Medicare ID - Type Unspecified
NEE94032Medicare UPIN