# WILLIAMSON HMA PHYSICIAN MANAGEMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HEALTH MANAGEMENT ASSOCIATES, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1639122690
- **Legal business name:** HEALTH MANAGEMENT ASSOCIATES, INC
- **Authorized official:** MR. MICHAEL L GINGRAS (VICE PRESIDENT)
- **Authorized official phone:** (239) 598-3131

## Contact information

- **Practice address:** 859 ALDERSON ST, WILLIAMSON, WV 25661-3215
- **Practice address phone:** (304) 235-2500
- **Practice address fax:** (304) 235-4549
- **Mailing address:** 859 ALDERSON ST, WILLIAMSON, WV 25661-3215
- **Mailing address phone:** (304) 235-2500
- **Mailing address fax:** (304) 235-0538

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207Y00000X | Otolaryngology Physician | — | NULL | — |
| 207Y00000X | Otolaryngology Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | — |
| 2086S0129X | Vascular Surgery Physician | — | — | — |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 05/03/2019