Provider Demographics
NPI:1184602823
Name:WILLIAMS, TALENA COX (PA-C)
Entity type:Individual
Prefix:MRS
First Name:TALENA
Middle Name:COX
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:181 W MEADOW DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:VAIL
Mailing Address - State:CO
Mailing Address - Zip Code:81657-5242
Mailing Address - Country:US
Mailing Address - Phone:970-479-5792
Mailing Address - Fax:970-479-5862
Practice Address - Street 1:181 W MEADOW DR
Practice Address - Street 2:SUITE 400
Practice Address - City:VAIL
Practice Address - State:CO
Practice Address - Zip Code:81657-5242
Practice Address - Country:US
Practice Address - Phone:970-479-5792
Practice Address - Fax:970-479-5862
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2016-08-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0110001693363AS0400X
COPA0004483363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1184602823OtherMEDICAID QMB
VA1184602823OtherHUMANA MEDICARE
VA1184602823OtherOPTIMA HEALTH PLAN
VAP00847896OtherRAILROAD MEDICARE
VA1184602823OtherAETNA
VA1184602823OtherSOUTHERN HEALTH/CARENET/CARELINK/COVENTRY
VA1184602823OtherANTHEM MEDIGAP
VA1184602823OtherINTOTAL
VA540506332115OtherTRICARE/CHAMPUS
VA1184602823OtherUMWA
VA371194700OtherBLACK LUNG
VA1184602823OtherSOUTHERN HEALTH/CARENET/CARELINK/COVENTRY
VA1184602823OtherHUMANA MEDICARE