TIA D. WILL (NPI# 1104998863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104998863 |
| Entity Type | Individual |
| Full Name | TIA D. WILL |
| Other Name | TERRY DIANE WILL |
| Credential | MD |
| Practice Address |
1955 Cowell Blvd Davis CA 95616-6325 |
| Mailing Address |
1800 Harrison St Fl 7 Oakland CA 94612-3429 |
| Practice Telephone | 9167577100 |
| Mailing Telephone | 5106256262 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | G53412 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G534120 | 05 |
| Street Address |
1955 COWELL BLVD |
| City | DAVIS |
| State | CA |
| Zip Code | 95616-6325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164408704 | John M. Chuck | Family Medicine | 1955 Cowell Blvd, Davis, CA 95616-6325 | 2005-12-15 |
| 1053845933 | Linda Leong Lee | Pharmacist | 1955 Cowell Blvd, Davis, CA 95618-6325 | 2017-04-17 |
| 1558895698 | Vera Yep | Pharmacist | 1955 Cowell Blvd, Davis, CA 95618-6325 | 2017-04-15 |
| 1376077628 | James Buck | Pharmacist | 1955 Cowell Blvd, Davis, CA 95618-6325 | 2017-04-13 |
| 1760915938 | Timothy Pia | Pharmacist | 1955 Cowell Blvd, Davis, CA 95618-6325 | 2017-04-05 |
| 1417308321 | Permanente Medical Group | Specialist | 1955 Cowell Blvd, Davis, CA 95618-6325 | 2016-06-22 |
| 1699119032 | Allison Rubin Buss | Pediatrics | 1955 Cowell Blvd, Davis, CA 95618-6325 | 2013-04-27 |
| 1477841484 | Wilson Lee | Optometrist | 1955 Cowell Blvd, Davis, CA 95618-6325 | 2011-07-12 |
| 1730328469 | Charles Matthew Easton | Pharmacist | 1955 Cowell Blvd, Davis, CA 95618-6325 | 2009-02-19 |
| 1578749396 | Catherine Elizabeth Dycaico | Internal Medicine | 1955 Cowell Blvd, Davis, CA 95618-6325 | 2008-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560871 | Anne-frances Ostrander | Physical Therapy Assistant | 397 La Rue Rd, Davis, CA 95616 | 2020-08-26 |
| 1487271458 | Alix Peloso Mahon | Behavior Technician | 1212 Alvarado Ave Apt 68, Davis, CA 95616 | 2020-06-25 |
| 1427671882 | Dhhs Ihs Cao Sacred Oaks Healing Center | Substance Abuse Rehabilitation Facility | 33100 County Road 31, Davis, CA 95616 | 2020-05-20 |
| 1871126961 | Linda Marie Adams | Dietitian, Registered | Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 | 2020-02-17 |
| 1851935217 | Timothy James Johnston | Orthotist | 635 Anderson Rd., Suite 18, Davis, CA 95616 | 2019-10-29 |
| 1386290716 | Dakota Cool | Specialist/Technologist | 750 Orchard Road, Davis, CA 95616 | 2019-08-12 |
| 1366908618 | Capitol Periodontal Group | Dentist | 750 F Street #5, Davis, CA 95616 | 2019-02-12 |
| 1831663434 | Elisha Niccole Cusumano | Specialist/Technologist | 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 | 2019-01-16 |
| 1609364991 | Aron Matthew Katz | Psychologist | One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 | 2018-04-23 |
| 1316463938 | Arielle Pinkston | Marriage & Family Therapist | 203 F St, Davis, CA 95616 | 2017-08-15 |
| Find all providers in zip 95616 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295003119 | Kenneth Niswander | Obstetrics & Gynecology | 622 Barbera Pl, Davis, CA 95616-0409 | 2011-12-06 |
| 1801931217 | Zaid Maqbool | Obstetrics & Gynecology | 1207 Ladera Ct, 1207 Ladera Court, Davis, CA 95616-7115 | 2007-02-21 |
| 1508921784 | Gary Gross | Obstetrics & Gynecology | 1550 Drew Ave, Ste 100, Davis, CA 95618-1628 | 2006-12-27 |
| 1588784334 | Pravin T Goud | Obstetrics & Gynecology | 1550 Drew Ave Ste 100, Davis, CA 95821 | 2007-03-29 |
| 1033238605 | Suzanne L. Bier | Obstetrics & Gynecology | 1955 Cowell Blvd, Davis, CA 95616-6325 | 2007-03-28 |
| 1093893828 | Carol J. Darwish | Obstetrics & Gynecology | 2020 Sutter Place, St 203, Davis, CA 95616 | 2006-11-01 |
| 1497833131 | Kimberly A. Ohlson | Obstetrics & Gynecology | 1955 Cowell Blvd, Davis, CA 95616-6325 | 2006-11-01 |
| 1790876712 | Leon D Schimmel | Obstetrics & Gynecology | 2051 John Jones Rd, Davis, CA 95616-9701 | 2006-09-27 |
| 1841399516 | Zoe A Tilton | Obstetrics & Gynecology | 2020 Sutter Pl, #203, Davis, CA 95616-6201 | 2006-09-21 |
| 1063515856 | Bethelen J Johnson | Obstetrics & Gynecology | 2020 Sutter Pl, #203, Davis, CA 95616-6201 | 2006-09-07 |
| Find all providers in DAVIS | ||||
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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.