ALBERT WILLIS II (NPI# 1184024630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184024630 |
| Entity Type | Individual |
| Full Name | ALBERT WILLIS II |
| Credential | D.M.D., M.D. |
| Practice Address |
540 Hughes Rd Suite 6 Madison AL 35758-8999 |
| Practice Telephone | 2564647873 |
| Practice Fax Number | 2564647864 |
| Mailing Telephone | 2564647873 |
| Mailing Fax Number | 2564647864 |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2014-09-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | 16039 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
540 HUGHES RD SUITE 6 |
| City | MADISON |
| State | AL |
| Zip Code | 35758-8999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700861713 | Jeanine Marie Loncar | Obstetrics & Gynecology | 540 Hughes Rd, Suite 7, Madison, AL 35758-8999 | 2005-12-13 |
| 1942829502 | Blue Sky Counseling Services LLC | Clinic/Center | 540 Hughes Rd, Madison, AL 35758-8999 | 2020-04-14 |
| 1336779370 | Sharon Leigh Wilson | Hospice Care, Community Based | 540 Hughes Rd, Madison, AL 35758-8999 | 2020-01-17 |
| 1134518475 | Lauren Roy | Physical Therapist | 540 Hughes Rd, Suite 8, Madison, AL 35758-8999 | 2015-01-09 |
| 1861881104 | Meredith Syx Taylor | Physical Therapist | 540 Hughes Rd, Suite 8, Madison, AL 35758-8999 | 2015-01-09 |
| 1801146949 | Elizabeth Ayer Whitehead | Physical Therapist | 540 Hughes Rd, Suite 8, Madison, AL 35758-8999 | 2012-09-17 |
| 1356646210 | Matthew L Thompson | Counselor | 540 Hughes Rd, Madison, AL 35758-8999 | 2011-01-24 |
| 1992039770 | Tiffany M Johnson | Physical Therapist | 540 Hughes Rd, Suite 8, Madison, AL 35758-8999 | 2009-09-25 |
| 1629204359 | Andrea Langston Johnson | Physical Therapist | 540 Hughes Rd, Suite 8, Madison, AL 35758-8959 | 2009-06-09 |
| 1811163033 | Charles Morgan Rousseau | Dentist | 540 Hughes Rd, Ste 4, Madison, AL 35758 | 2008-05-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487299277 | Hanging Lanes Christian Wellness Ministries and Counseling Center | Counselor | 650 Sun Temple Drive, Madison, AL 35758 | 2019-11-15 |
| 1104487396 | Caroline Thomas Estes | Occupational Therapist | 8475 Wann Drive, Madison, AL 35758 | 2019-06-27 |
| 1265902894 | Sharinne Summers Sears | Registered Nurse | 204 Grove Village Way, Madison, AL 35758 | 2018-11-27 |
| 1013484666 | Lori Pohly | Counselor | 190 Lime Quarry Road, Suite 212, Madison, AL 35758 | 2018-10-31 |
| 1174022297 | Rhonda Marie Stalb | Marriage & Family Therapist | 650 Sun Temple Dr Ste 101, Madison, AL 35758 | 2018-02-04 |
| 1528585932 | Alabama Dental Professionals, PC | Dentist | 7666 Highway 72 W, Madison, AL 35758 | 2017-08-25 |
| 1134658537 | Diane Bierbauer | Dietitian, Registered | 520 Thoreau Spring Ct, Madison, AL 35758 | 2017-06-08 |
| 1255870408 | Maggie Collins | Nurse Practitioner | 7559 U.S. 72, Madison, AL 35758 | 2017-02-21 |
| 1649648858 | Terry A. Burgess | Dentist | 810 Palmer Plaza, # 103, Madison, AL 35758 | 2015-09-03 |
| 1063896314 | Caswall C Harrigan Physician PC | Family Medicine | Madison Medical Plaza 540 Hughes Road, Suite 14, Madison, AL 35758 | 2015-07-16 |
| Find all providers in zip 35758 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679938740 | Aesthetic and Reconstructive Surgery, L.L.C. | Oral & Maxillofacial Surgery | 100 Kings Rd, Madison, NJ 07940-2670 | 2015-12-16 |
| 1235262064 | Lawrence Mark Gorzelnik | Oral & Maxillofacial Surgery | 100 Kings Rd, Madison, NJ 07940-2631 | 2007-03-13 |
| 1699822403 | Andrew J Miller | Oral & Maxillofacial Surgery | 752 N High Point Rd, Madison, WI 53717-2236 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760895866 | Kelly Sue Sayre | Oral & Maxillofacial Surgery | 2000 6th Ave S Fl 1, Birmingham, AL 35233-2110 | 2014-06-05 |
| 1528101698 | Leroy A Kamelchuk | Oral & Maxillofacial Surgery | 1107 Gleneagles Dr Sw, Huntsville, AL 35801-6405 | 2007-02-15 |
| 1528162773 | William Carl Ray Jr. | Oral & Maxillofacial Surgery | 9133 Parkway East, Birmingham, AL 35206-1508 | 2006-09-11 |
| 1194838557 | Allan Koplan | Oral & Maxillofacial Surgery | 3332 Old Montgomery Hwy, Ste 111, Birmingham, AL 35209-4249 | 2006-08-17 |
| 1720034531 | Bobby R Lewis | Oral & Maxillofacial Surgery | 3029 Allison Bonnett Memorial Dr, Bessemer, AL 35023-2364 | 2006-05-25 |
| 1780636233 | Premier Anesthesia of Montgomery PC | Oral & Maxillofacial Surgery | 2105 East South Blvd, Montgomery, AL 36116 | 2006-05-16 |
| 1437114246 | Philip B Elledge | Oral & Maxillofacial Surgery | 2314 Pansy St Sw, Huntsville, AL 35801-3803 | 2006-04-18 |
| 1013529296 | Matthew B Fay | Oral & Maxillofacial Surgery | 715 Downtowner Blvd, Mobile, AL 36609-5401 | 2020-08-19 |
| 1578123980 | Jordan Gigliotti | Oral & Maxillofacial Surgery | 2000 6th Ave S Fl 1, Birmingham, AL 35233-2110 | 2019-06-18 |
| 1871085415 | Alabama Surgical Arts, LLC | Oral & Maxillofacial Surgery | 4590 Woodmere Blvd, Montgomery, AL 36106-2918 | 2018-05-30 |
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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.