DR. ROBERT L WILLIS (NPI# 1073507182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073507182 |
| Entity Type | Individual |
| Full Name | DR. ROBERT L WILLIS |
| Credential | DO |
| Practice Address |
201 S Carter St Carterville MO 64835-1451 |
| Practice Telephone | 4176733843 |
| Practice Fax Number | 4176731160 |
| Mailing Telephone | 4176733843 |
| Mailing Fax Number | 4176731160 |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2010-03-05 |
| NPI Deactivation Date | 03/24/2006 |
| NPI Reactivation Date | 2006-04-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 10148 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750931200 | Robert K. Willis | Counselor | 2818 Appaloosa Run, Ellenwood, GA 30294-3968 | 2019-09-17 |
| 1629445259 | Robert Willis | Behavioral Analyst | 6311 N 15th St, Lincoln, NE 68521-8976 | 2015-08-31 |
| 1730525874 | Robert Scott Willis | Hearing Instrument Specialist | 104 E Moore St, Valdosta, GA 31602-2911 | 2013-05-16 |
| 1710967443 | Robert Addison Willis | Dentist | 204 E Lincoln Ave, Wellington, KS 67152-3061 | 2006-01-19 |
| 1093218349 | Robert Lawrence Willis | Counselor | 111 N Patterson St, Valdosta, GA 31601-5515 | 2018-03-13 |
| 1295268829 | Robert Grant Willis | Surgery | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2017-04-11 |
| 1407250665 | Robert Willis | Social Worker | 4510 Frankford Ave, Philadelphia, PA 19124-3602 | 2014-10-17 |
| 1023399516 | Robert William Willis | Physical Therapy Assistant | 14502 Greenview Dr, Suite 408, Laurel, MD 20708-3287 | 2011-08-29 |
| 1255620746 | Robert A. Willis | Marriage & Family Therapist | 204 Jefferson St, Suite 106, N Wilkesboro, NC 28659-3586 | 2011-04-05 |
| 1689974636 | Robert Willis Jr. | Pharmacist | 6220 E 14th Ave, Denver, CO 80220-2747 | 2010-10-25 |
| Street Address |
201 S CARTER ST |
| City | CARTERVILLE |
| State | MO |
| Zip Code | 64835-1451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083733430 | Rachel Anne Rowland-branch | Counselor | 515 S Walnut St, Carterville, MO 64835-1742 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061612 | Donnie L Winget | Counselor | 536 N Division St, Carterville, IL 62918-1006 | 2020-10-20 |
| 1235753559 | Britton Kyle Herrin | Student in an Organized Health Care Education/Training Program | 313 Twin Lakes Rd, Carterville, IL 62918-2350 | 2020-06-02 |
| 1144852831 | Christy Ogden | Speech-Language Pathologist | 304 Noah Ln, Carterville, IL 62918-6143 | 2020-02-10 |
| 1629608773 | Madeline Lea Taitt | Pharmacist | 3637 Herrin Rd, Carterville, IL 62918-3156 | 2020-01-16 |
| 1457910234 | Kelsea Ashton | Dentist | 115 Lyndsey Ln, Carterville, IL 62918-2332 | 2019-06-06 |
| 1477110062 | Tlc Home Care Services, Inc. | In Home Supportive Care | 205 N Division St, Carterville, IL 62918-1248 | 2019-05-20 |
| 1821558099 | Kyleigh Pender | Behavior Technician | 402 E Plaza Dr, Carterville, IL 62918-2090 | 2019-03-22 |
| 1871058149 | Centerstone of Illinois | Behavioral Analyst | 402 E Plaza Dr Ste 5, Carterville, IL 62918-2092 | 2019-01-31 |
| 1255811964 | Charles Robert Sanders | Registered Nurse | 118 Timber Trl, Carterville, IL 62918-2377 | 2018-08-21 |
| 1629561691 | Denise Adegoke | Dentist | 500 E Plaza Dr Ste 1, Carterville, IL 62918-2009 | 2018-06-13 |
| Find all providers in CARTERVILLE | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative 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 pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811540347 | Ying Wang | Neuromusculoskeletal Medicine & OMM | 1516 S Osteopathy Ave Apt 3, Kirksville, MO 63501-1739 | 2019-07-23 |
| 1003254491 | David Frey Mendelson | Neuromusculoskeletal Medicine & OMM | 7906 Kingsbury Blvd, Saint Louis, MO 63105-3824 | 2013-06-07 |
| 1831459940 | Martin Jan Pryor | Neuromusculoskeletal Medicine & OMM | 315 S. Osteopathy Street, Attn: Gme, Kirksville, MO 63501-0491 | 2012-05-22 |
| 1912286592 | Amir Dori | Neuromusculoskeletal Medicine & OMM | 7530 Oxford Dr, Clayton, MO 63105-2808 | 2011-08-12 |
| 1609019736 | Steven Lee Funk | Neuromusculoskeletal Medicine & OMM | 509 E Harrison St, Kirksville, MO 63501-3141 | 2009-04-20 |
| 1629117742 | Rajiv L Yadava | Neuromusculoskeletal Medicine & OMM | 2355 Dougherty Ferry Rd Ste 320, St Louis, MO 63122-3325 | 2007-02-05 |
| 1457440513 | Kenneth A Zaremski | Neuromusculoskeletal Medicine & OMM | 2340 E Meyer Blvd Ste 200, Kansas City, MO 64132-1121 | 2006-10-12 |
| 1689776148 | Michael Gerald Knapp | Neuromusculoskeletal Medicine & OMM | 601 S Schifferdecker Ave, Joplin, MO 64801-3320 | 2006-09-03 |
| 1225141641 | Jay Brian Danto | Neuromusculoskeletal Medicine & OMM | 2901 Saint Johns Blvd, Joplin, MO 64804-1598 | 2006-08-17 |
| 1083643100 | Osteopathic Medical Arts, LLC | Neuromusculoskeletal Medicine & OMM | 27176 St Hwy 6 E, Kirksville, MO 63501 | 2006-07-01 |
| Find all providers with the same taxonomy | ||||
| City | CARTERVILLE |
| Zip Code | 64835 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.