DR. CYD CHARISSE THOMAS WILLIAMS M.D. NPI 1790728632

NPI Information

  • NPI: 1790728632
  • Provider Name: DR. CYD CHARISSE THOMAS WILLIAMS, M.D.
  • Classification: Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2310 HWY 94 SOUTH OUTER ROAD
    SAINT CHARLES, MO
    ZIP 63303
  • Phone: (636) 552-4275

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NPI Details

DR. Cyd Charisse Thomas Williams, M.D. is a neuromusculoskeletal medicine sports medicine in Saint Charles, MO. The provider is a Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/ DR. Cyd Charisse Thomas Williams, M.D. NPI is 1790728632. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2310 HWY 94 SOUTH OUTER ROAD
SAINT CHARLES, MO
ZIP 63303-104
Phone: (636) 552-4275
Fax: (888) 386-2172

The NPI 1790728632 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/14/2006 and was last updated on 2/4/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204C00000XNeuromusculoskeletal Medicine, Sports Medicine1999135803MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1204812812MEDICAIDMISSOURI
2G22639MEDICARE UPINMISSOURI
3201597188OTHERMISSOURITAX IDENTIFICATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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