Cyd Charisse Thomas Williams, M.D.

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

1999135803 Issued in MO

Practice address

2310 Hwy 94 South Outer Road
Saint Charles, MO 63303-2104

Phone

(636) 552-4275

Fax

(888) 386-2172

NPI assigned

Jun 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1790728632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 HWY 94 S OUTER RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633038301",
            "telephone_number": "636-552-4275",
            "fax_number": "888-386-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 HWY 94 SOUTH OUTER ROAD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633032104",
            "telephone_number": "636-552-4275",
            "fax_number": "888-386-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS WILLIAMS",
        "first_name": "CYD CHARISSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "MO",
            "license": "1999135803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204812812",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION",
            "identifier": "201597188",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fatou Thiam
• Emily Thieman, MOT, OTR/L
• Craig Ryan Thiessen, M.D.
• Things Hoped for Youth & Family Counseling, LLC
• Sean Thoma
• Brennae Thomas
• Haley Hansen Thomas
• Melissa Lee Thomas, M.ED MAADC II MARS
• Vicki Thomas, RPT
• Heather K Thomason, PT, DPT, MS

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.