DR. WILLIAM A WILLIS (NPI# 1205875846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205875846 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM A WILLIS |
| Credential | M.D. |
| Practice Address |
104 Wall St Poteau OK 74953 |
| Mailing Address |
Po Box 459 Poteau OK 74953-0459 |
| Practice Telephone | 9188392159 |
| Mailing Telephone | 9188392159 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2018-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 12280 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100117220A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063539351 | William E Willis Jr. | Dentist | 108 Babb Drive, Lebanon, TN 37087 | 2007-03-23 |
| 1528150299 | William Lee Willis | Dentist | 2510 Nw Kline St, Roseburg, OR 97470 | 2006-09-29 |
| 1033179478 | William Allen Willis Jr. | Psychiatry & Neurology | 2850 Village Dr, Suite 103, Fayetteville, NC 28304-3864 | 2006-03-27 |
| 1003415324 | William Philip Willis | Chiropractor | 1413 Kingsley Ave, Orange Park, FL 32073-4527 | 2020-10-19 |
| 1134695588 | William Christopher Willis Jr. | Social Worker | 1419 Madison Park Dr, Glen Burnie, MD 21061-5613 | 2018-10-23 |
| 1912457060 | William Willis | Counselor | 111 Lamon St, Suite 103, Fayetteville, NC 28301-4901 | 2016-10-12 |
| 1073947313 | William Paul Willis | Hearing Instrument Specialist | 11800 Se 82nd Ave, Happy Valley, OR 97086-7711 | 2013-08-22 |
| 1851536692 | William R Willis | Physical Therapist | 20 School St, Bradford, PA 16701-1257 | 2008-12-09 |
| 1972520567 | William Wyatt Willis | Family Medicine | 126 Trivette Dr, Suite 102, Pikeville, KY 41501-1275 | 2006-07-17 |
| 1376572990 | William N Willis | Chiropractor | 2829 Dallas St Nw, Kennesaw, GA 30144-2704 | 2006-07-03 |
| Street Address |
104 WALL ST |
| City | POTEAU |
| State | OK |
| Zip Code | 74953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043265895 | Leflore County Hospital Authority | Surgery | 104 Wall St, Poteau, OK 74953-4405 | 2006-05-23 |
| 1396248381 | Crystal Ollie | Nurse Practitioner | 104 Wall St, Poteau, OK 74953-4405 | 2018-03-15 |
| 1952757254 | Edward C Wemmerus | Clinical Nurse Specialist | 104 Wall St, Poteau, OK 74953-4405 | 2016-05-05 |
| 1174903389 | Kassandra L Payne | Family Medicine | 104 Wall St, Poteau, OK 74953 | 2015-06-02 |
| 1043431208 | Marcella P Jones | Family Medicine | 104 Wall St, Poteau, OK 74953-4405 | 2007-05-02 |
| 1568680437 | Tamra Jean Wright | Physician Assistant | 104 Wall St, Poteau, OK 74953-4405 | 2007-04-23 |
| 1992843809 | Nancy Christene Merritt | Internal Medicine | 104 Wall St, Poteau, OK 74953-4405 | 2007-02-02 |
| 1952341562 | Janet L Garvin | Family Medicine | 104 Wall St, Poteau, OK 74953-4405 | 2006-06-08 |
| 1306885934 | Billy Don Schumpert | Family Medicine | 104 Wall St, Poteau, OK 74953-4405 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235644550 | Kim Lynn Mcconnell | Case Manager/Care Coordinator | 907 Grace St., Poteau, OK 74953 | 2017-12-08 |
| 1356889745 | Brenda Stacy | Prevention Professional | 507 Drwey, Potesu, OK 74953 | 2017-02-06 |
| 1639621451 | Sabrina Danielle Minor | Case Manager/Care Coordinator | 15715 Greentop Road, Poteau, OK 74953 | 2016-10-27 |
| 1902352545 | Daniel Jesse Bruesch | Counselor | 600 Oklahoma Ave., Poteau, OK 74953 | 2016-09-01 |
| 1578912465 | Jo Ann Walden | Counselor | 507 Dewey Avenue, Poteau, OK 74953 | 2016-06-10 |
| 1154708477 | Kendal Repass | Specialist/Technologist | 17100 Nail Creek, Poteau, OK 74953 | 2015-05-06 |
| 1669891768 | Jennifer Branscum | Case Manager/Care Coordinator | 22681 Valley View Rd, Poteau, OK 74953 | 2014-04-16 |
| 1437582145 | Kim Loggains | Counselor | 2104 A-n. Broadway, Poteau, OK 74953 | 2013-08-16 |
| 1457783573 | Derek Morris | Counselor | 3111b N. Broadway St., Box 34, Poteau, OK 74953 | 2013-07-31 |
| 1568743177 | Carol Ann Oliver | Counselor | 34183 Country Club Lane, Poteau, OK 74953 | 2011-09-09 |
| Find all providers in zip 74953 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518404037 | Henri Bienvenido Ramirez Mendez/ Beewell Family Healthcare | General Practice | 500 S Broadway St, Suite B, Poteau, OK 74953-3818 | 2017-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417565433 | Robinson Medical Clinic West, LLC | General Practice | 1900 W 2nd St Ste D, Elk City, OK 73644-4328 | 2020-07-15 |
| 1669080891 | Prairie Gardens Medical LLC | General Practice | 1213 Nw 122nd St Ste 401, Oklahoma City, OK 73114-7000 | 2020-07-14 |
| 1801431135 | Cristina Elisa Collazo-suarez | General Practice | 401 Nw 76th St, Lawton, OK 73505-5338 | 2019-11-11 |
| 1578117859 | Tulsa Wellness Management, LLC | General Practice | 3501 S Yale Ave Ste A, Tulsa, OK 74135-8014 | 2019-07-25 |
| 1053875781 | Oumi Clinics LLC | General Practice | 1200 Childrens Ave Ste 11200, Oklahoma City, OK 73104-4637 | 2019-01-28 |
| 1902396294 | Gail Renee Marchant | General Practice | 8784 E 105th Ct, Tulsa, OK 74133-7063 | 2018-05-13 |
| 1528578499 | Revive Medical LLC | General Practice | 4215 N Classen Blvd Ste 103, Oklahoma City, OK 73118 | 2017-10-05 |
| 1992214548 | Lifestyle Medical Center, Pllc | General Practice | 4505 S Harvard Ave, Tulsa, OK 74135-2905 | 2017-09-27 |
| 1265884449 | Turning Point Health LLC | General Practice | 736 W Main St, Jenks, OK 74037-3519 | 2016-07-12 |
| 1891149647 | Daniel Enriquez | General Practice | 1040 7050 S Air Depot Blvd, Oklahoma City, OK 73135 | 2016-04-18 |
| 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.