C B Williamson

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ME33731 Issued in FL

Legal business name

C B WILLIAMSON

Practice address

3635 S Clyde Morris Blvd
Ste 600
Port Orange, FL 32129-2300

Phone

(386) 760-2888

Fax

(386) 760-8866

NPI assigned

Jun 5, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charles B Williamson, MD

Title

Sole Proprietor

Phone

(386) 760-2888

Specialties & licenses 1

Addresses

Other names 1

• Halifax Orthopedic Associates Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1043690902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 S CLYDE MORRIS BLVD",
            "address_2": "STE 600",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321292300",
            "telephone_number": "386-760-2888",
            "fax_number": "386-760-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 S CLYDE MORRIS BLVD",
            "address_2": "STE 600",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321292300",
            "telephone_number": "386-760-2888",
            "fax_number": "386-760-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C B WILLIAMSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "386-760-2888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME33731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Halifax Orthopedic Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debra Burnett
• Lisa Burt
• Gina Beth Bushelon, DOM, A.P.
• Jay W Butwinick, APRN
• Abiola Byron
• C Lawrence Slade MD Facs LLC
• C. Lawrence Slade, M.D., F.a.C.S., LLC
• Carlene Cabot
• Rachel Cadigan
• Bryan Thomas Call, D.C.

• Orthopaedic Surgery Physician in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.