DR. JASON J WILLIS (NPI# 1205091410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205091410 |
| Entity Type | Individual |
| Full Name | DR. JASON J WILLIS |
| Credential | DPM |
| Practice Address |
6260 Delaware St Beaumont TX 77706-7602 |
| Practice Telephone | 4098991538 |
| Practice Fax Number | 4098992120 |
| Mailing Telephone | 4098991538 |
| Mailing Fax Number | 4098992120 |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2019-09-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 1988 | TX | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
2008018676 | MO | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679603153 | Jason Willis | Internal Medicine | 1101 12th Ave, Nw, Mercy Ardmore Hospital Wound Care Center, Ardmore, OK 73401 | 2007-03-06 |
| 1558991059 | Jason Willis | Case Manager/Care Coordinator | 807 Lawn Ave, Sellersville, PA 18960-1594 | 2020-01-23 |
| 1265834402 | Jason Willis | Nurse Practitioner | 2200 Childrens Way, Nashville, TN 37232-0005 | 2014-09-18 |
| 1750700316 | Jason Willis | Internal Medicine | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2014-04-10 |
| 1437574084 | Jason Alexander Willis | Physician Assistant | 472 Rankin Dr, Marion, NC 28752-6568 | 2014-02-19 |
| 1689942054 | Jason Willis | Case Manager/Care Coordinator | 6701 Highway 67 Bldg 4, Benton, AR 72015-8909 | 2011-12-13 |
| 1487857983 | Jason S. Willis | Pathology | 4770 Regent Blvd, Irving, TX 75063-2445 | 2007-06-11 |
| 1013948215 | Jason Willis | Physician Assistant | 522 W Newton St, Suite 100, Greensburg, PA 15601-2820 | 2006-07-05 |
| Street Address |
6260 DELAWARE ST |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77706-7602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851396139 | Debra Jann Lusk | Podiatrist | 6260 Delaware St, Beaumont, TX 77706-7602 | 2005-06-14 |
| 1699088617 | Kolby Shane White | Podiatrist | 6260 Delaware St, Beaumont, TX 77706-7602 | 2010-07-19 |
| 1982752556 | Golden Triangle Foot & Ankle Specialists, P.a. | Podiatrist | 6260 Delaware St, Beaumont, TX 77706-7602 | 2007-01-08 |
| 1518063072 | Leigh A Harvey | Podiatrist | 6260 Delaware St, Beaumont, TX 77706-7602 | 2006-09-15 |
| 1972509032 | Neil A Burrell | Podiatrist | 6260 Delaware St, Beaumont, TX 77706-7602 | 2005-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982176293 | Allen Family Home Care LLC | In Home Supportive Care | 4055 Dowlen Rd Ste 112, Beaumont, TX 77706 | 2018-12-27 |
| 1730661174 | Joseph Pryor Ingram | Counselor | 5450 Folsom Road #3, Beaumont, TX 77706 | 2018-09-02 |
| 1336644582 | Jenny Lee Broaddus | Counselor | 8150 N. Major Dr., Beaumont, TX 77706 | 2018-03-29 |
| 1528584026 | Amanthia Peace Williams | Pedorthist | 3645 Calder Ave., Beaumont, TX 77706 | 2017-08-16 |
| 1356863286 | Nicole Denise Williams | Speech-Language Pathologist | 970 North 23rd Street, Beaumont, TX 77706 | 2017-07-12 |
| 1487038923 | Associates for Dental Health, Pllc | Dentist | 415 Dowlen Rd Ste A, Beaumont, TX 77706 | 2015-07-15 |
| 1508264532 | Rose Anne Essex | Dietitian, Registered | 3510 Charleston Ln, Beaumont, TX 77706 | 2014-12-08 |
| 1780001933 | C. Asteris, Inc. | Contractor | 1465 W. Lucas Dr., Beaumont, TX 77706 | 2014-03-26 |
| 1376985820 | Erica J Hayes M D P A | Preferred Provider Organization | 4a Bayou Brandt Drive, Beaumont, TX 77706 | 2013-07-25 |
| 1194162909 | Hezron Omanga | Pharmacist | 3585 N. Dowlen Road, Beaumont, TX 77706 | 2013-06-03 |
| Find all providers in zip 77706 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750550083 | John M. Malain D.p.m., Pa | Podiatrist | 3480 Fannin St., Ste. D, Beaumont, TX 77701-3804 | 2008-02-20 |
| 1356447809 | James Mark Bruyn | Podiatrist | 450 North 11th St, Beaumont, TX 77702 | 2006-09-15 |
| 1235240086 | Beaumont Foot Specialists Inc | Podiatrist | 450 North 11th Street, Beaumont, TX 77702 | 2006-08-31 |
| 1669488128 | Joseph Novosel | Podiatrist | 2850 Eastex Fwy, Beaumont, TX 77703-4618 | 2006-08-01 |
| 1376536045 | John M Malain | Podiatrist | 3480 Fannin St, Ste D, Beaumont, TX 77701-3804 | 2005-08-26 |
| 1518063072 | Leigh A Harvey | Podiatrist | 6260 Delaware St, Beaumont, TX 77706-7602 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396834 | Shine Foot and Ankle Center | Podiatrist | 11614 Fm 2244 Rd Ste 150, Austin, TX 78738-5471 | 2020-11-05 |
| 1740895911 | Royal Haven Medical | Podiatrist | 713 Lakeview Dr, Alvarado, TX 76009-2668 | 2020-09-14 |
| 1851924500 | Interventional Partners LLC | Podiatrist | 4708 Alliance Blvd Ste 475, Plano, TX 75093-5351 | 2020-02-20 |
| 1225688583 | Access Podiatry Center, LLC | Podiatrist | 2703 Stone Hedge, Eagle Pass, TX 78852 | 2019-09-18 |
| 1366091704 | Carrollton Podiatrist Pllc | Podiatrist | 3730 N Josey Ln Ste 120, Carrollton, TX 75007-2439 | 2019-09-09 |
| 1760030571 | Right Step Foot Clinic and Ankle Clinic, LLC | Podiatrist | 11507 S Highway 6 Ste C, Sugar Land, TX 77498-4933 | 2019-08-27 |
| 1225684392 | Podiatry Usa Corporation | Podiatrist | 2300 Sherbrooke Ln, Mckinney, TX 75070-4769 | 2019-08-14 |
| 1508422395 | Interventional Partners | Podiatrist | 3200 Olton Rd Ste C, Plainview, TX 79072-6653 | 2019-05-16 |
| 1194380097 | Interventional Partners LLC | Podiatrist | 5575 Warren Pkwy Ste 101, Frisco, TX 75034-4066 | 2019-05-06 |
| 1548825839 | Interventional Partners LLC | Podiatrist | 2150 N Josey Ln # 200b, Carrollton, TX 75006-2991 | 2019-05-02 |
| Find all providers with the same taxonomy | ||||
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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.