CELESTE REESE WILLIS (NPI# 1104893809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104893809 |
| Entity Type | Individual |
| Full Name | CELESTE REESE WILLIS |
| Other Name | CELESTE S REESE |
| Credential | MD |
| Practice Address |
1201 19th St N Birmingham AL 35234-2560 |
| Mailing Address |
944 Narrows Point Dr Birmingham AL 35242-8672 |
| Practice Telephone | 2052918842 |
| Practice Fax Number | 2052359592 |
| Mailing Telephone | 2052918842 |
| Mailing Fax Number | 2052359592 |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 26026 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | HEALTHSPRING OF AL | I16326 | 01 |
| AL | TRICARE | 631053058026 | 01 |
| AL | 009938946 | 05 | |
| FEDERAL BLACK LUNG | 167582201 | 01 | |
| AL | BCBS | 51536439 | 01 |
| AETNA | 783802 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811420227 | Celeste Willis | Social Worker | 1055 W. Sussex, Missoula, MT 59801 | 2017-04-04 |
| Street Address |
1201 19TH ST N |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35234-2560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228597 | Dr Celeste Reese Willis Medical Group, LLC | Clinic/Center | 1201 19th St N, Birmingham, AL 35234-2560 | 2020-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225549140 | Kathy Youngblood | Home Health | 1907 14th Ave N Apt 4b, Birmingham, AL 35234 | 2017-10-18 |
| 1154765568 | University of Alabama In Birmingham | General Acute Care Hospital | 619 S 19th Street, Birmingham, AL 35234 | 2013-04-29 |
| 1699722348 | Agatha I Asuru | Internal Medicine | 2401 15th Ave North, Birmingham, AL 35234 | 2006-05-28 |
| 1447210844 | Painsouth Inc | Pain Medicine | 1528 Carraway Blvd, Suite 402, Birmingham, AL 35234 | 2006-03-28 |
| 1295922649 | Pmc Gastroenterology Associates, PC | Internal Medicine | 1532 Carraway Blvd, Suite 220, Birmingham, AL 35234 | 2007-10-01 |
| 1114119567 | Physician Medical Center, LLC | Family Medicine | 1600 Carraway Blvd, Birmingham, AL 35234 | 2007-08-09 |
| 1598972606 | Physicians Medical Center, LLC | Specialist | 1528 Carraway Blvd, Ste 202, Birmingham, AL 35234 | 2007-05-17 |
| 1457568594 | Physicians Medical Center, LLC | General Acute Care Hospital | 1600 Carraway Blvd, Birmingham, AL 35234 | 2007-05-17 |
| 1124231766 | Physicians Medical Center, LLC | Clinic/Center | 2401 15th Ave North, Birmingham, AL 35234 | 2007-05-08 |
| 1194826446 | Jeffrey Wurst | Emergency Medicine | 1600 Carraway Blvd, Emergency Department, Birmingham, AL 35234 | 2006-09-26 |
| Find all providers in zip 35234 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639718968 | Doctorwellington LLC | Family Medicine | 1500 1st Ave N Unit 37, Birmingham, AL 35203-1872 | 2020-01-03 |
| 1427696400 | Lori Kaye Hess | Family Medicine | 1387 Pierce St, Birmingham, MI 48009-3648 | 2019-12-20 |
| 1033765888 | Alabama Regional Medical Services | Family Medicine | 2800 Wilson Rd Sw, Birmingham, AL 35221-1303 | 2019-08-16 |
| 1104326925 | Alabama Regional Medical Services | Family Medicine | 3200 27th St N Ste C, Birmingham, AL 35207-4554 | 2018-02-19 |
| 1053832089 | Medhelp Shelby, LLC | Family Medicine | 3143 Pelham Parkway, Birmingham, AL 35214 | 2017-06-29 |
| 1740718006 | Alabama Regional Medical Services | Family Medicine | 921 2nd Ave N, Birmingham, AL 35203-3019 | 2017-05-31 |
| 1902333974 | Liberty Wellness Services | Family Medicine | 420 20th St N Ste 2200, Birmingham, AL 35203-3261 | 2017-05-22 |
| 1205361912 | St Vincents Primary Care Patchwork Farms LLC | Family Medicine | 3056 Healthy Way, Suite 100, Birmingham, AL 35243-2434 | 2017-05-01 |
| 1669926861 | My E-physicians, PC | Family Medicine | 1381 Birmingham Blvd, Birmingham, MI 48009-1997 | 2016-08-05 |
| 1740646181 | Ksenia Nikolayevna Blinnikova | Family Medicine | 1201 11th Ave S Ste 410, Birmingham, AL 35205-3423 | 2016-01-14 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35234 |
Please comment or provide details below to improve the information on CELESTE REESE WILLIS.
| 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.