JOHN JEFFERY WILLIS (NPI# 1215958012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215958012 |
| Entity Type | Individual |
| Full Name | JOHN JEFFERY WILLIS |
| Credential | MD |
| Practice Address |
29 Nw 1st Ln Lamar MO 64759-8105 |
| Practice Telephone | 4176815100 |
| Practice Fax Number | 4176815510 |
| Mailing Telephone | 4176815100 |
| Mailing Fax Number | 4176815510 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2018-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 2006005527 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922355155 | John Churchill Willis IIi | Internal Medicine | 823 Weeden Island Dr, Niceville, FL 32578-3724 | 2012-08-07 |
| 1700021425 | John Glen Willis | Counselor | 1030 Johnson Rd Ste 286, Golden, CO 80401-6003 | 2008-12-09 |
| 1215093018 | John M Willis | Dentist | 6 Fundy Rd, Falmouth, ME 04105-1705 | 2006-12-28 |
| 1205891207 | John M Willis | Internal Medicine | 2800 E Broad St Ste 512, Mansfield, TX 76063-6417 | 2006-04-20 |
| 1356310577 | John Curtis Willis | Chiropractor | 305 Allegheny St, Richlands, VA 24641 | 2006-03-17 |
| 1548253172 | John A Willis | Orthopaedic Surgery | 130 N Street Ext, Hyannis, MA 02601-3825 | 2005-08-30 |
| 1063952190 | John Willis | Counselor | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2017-03-08 |
| 1205211208 | John Macphee Willis | Dentist | 160 E. Erie Ave, St. Christopher's Hospital for Children, Attn: Dental, Philadelphia, PA 19134 | 2015-07-21 |
| 1619393493 | John Willis | Pharmacist | 1401 Minnesota Ave, Libby, MT 59923-2309 | 2014-03-17 |
| 1356763791 | John Willis | Pharmacist | 6131 E Southern Ave, Mesa, AZ 85206-3732 | 2014-01-18 |
| Street Address |
29 NW 1ST LN |
| City | LAMAR |
| State | MO |
| Zip Code | 64759-8105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104801547 | Barton County Memorial Hospital | Medicare Defined Swing Bed Unit | 29 Nw 1st Ln, Lamar, MO 64759-8105 | 2005-12-08 |
| 1376171504 | Melanie Sue Leibbrand | Physical Medicine & Rehabilitation | 29 Nw 1st Ln, Lamar, MO 64759-8105 | 2020-04-01 |
| 1568097897 | Cox Barton County Hospital | General Acute Care Hospital | 29 Nw 1st Ln, Lamar, MO 64759-8105 | 2020-03-06 |
| 1568092138 | Keith Frieling | Physical Therapist | 29 Nw 1st Ln, Lamar, MO 64759-8105 | 2020-01-22 |
| 1801434030 | Cox Barton County Hospital | Pharmacy | 29 Nw 1st Ln, Lamar, MO 64759-8105 | 2019-12-18 |
| 1174166177 | Cox Barton County Hospital | General Acute Care Hospital | 29 Nw 1st Ln, Lamar, MO 64759-8105 | 2019-10-22 |
| 1083279582 | Lester E Cox Medical Centers | Nurse Practitioner | 29 Nw 1st Ln, Lamar, MO 64759-8105 | 2019-05-09 |
| 1215432232 | Julie Lynn Turner | Nurse Practitioner | 29 Nw 1st Ln, Lamar, MO 64759 | 2018-03-30 |
| 1275037921 | Cbch LLC | General Acute Care Hospital | 29 Nw 1st Ln, Lamar, MO 64759-8105 | 2018-03-19 |
| 1134627946 | Hannah Marie Born | Nurse Practitioner | 29 Nw 1st Ln, Lamar, MO 64759-8105 | 2018-01-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265959118 | Alana Gilmartin | Pharmacist | 605 A W 12th St, Lamar, MO 64759 | 2017-08-22 |
| 1790989523 | Eden Christine Ogden | Registered Nurse | Second and Gulf St., Lamar, MO 64759 | 2007-06-14 |
| 1972699353 | Barton County Health Department | Public Health or Welfare | 1301 East 12th Street, Lamar, MO 64759 | 2006-10-05 |
| 1366478711 | Timothy Sprenkle | Family Medicine | 307 W 11th Street, Lamar, MO 64759 | 2006-06-25 |
| 1598297145 | Rochelle Gardner | Respiratory Therapist, Registered | 29 Nw 1st Lane, Lamar, MO 64759 | 2017-04-03 |
| 1487020418 | Ozark Tri-county Health Care Consortium | Clinic/Center | 210 W 10th St, Lamar, MO 64759 | 2015-08-13 |
| 1407985518 | Barton County Ambulance District | Ambulance | 1100 Cherry Street, Lamar, MO 64759-0085 | 2007-03-05 |
| 1861689218 | Barton County Learning Center for Exceptional Children, Inc. | Case Management | 1204 Gulf St, Lamar, MO 64759-0569 | 2007-10-01 |
| 1104129733 | Barton County Memorial Hospital | Surgery | 102 W 2nd St, Lamar, MO 64759-1029 | 2010-12-21 |
| 1205833159 | Jeffery Orland Moyer | Dentist | 805 Broadway St, Lamar, MO 64759-1224 | 2005-07-07 |
| Find all providers in zip 64759 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265640304 | Margaret Joy Loewen | Emergency Medicine | 403 Kendall Drive, Lamar, CO 81052-3953 | 2007-05-21 |
| 1689717456 | Thomas A Hopkins | Emergency Medicine | 115 W 12th St, Lamar, MO 64759-1756 | 2007-02-14 |
| 1043449408 | Mark R Debuse | Emergency Medicine | 401 Kendall Dr, Lamar, CO 81052 | 2009-07-07 |
| 1326246141 | Prowers County Hospital District | Emergency Medicine | 401 Kendall Drive, Lamar, CO 81052-3942 | 2007-07-03 |
| 1376741173 | Jeremy Lowell Sturgell | Emergency Medicine | 29 Nw 1st Ln, Lamar, MO 64759-8105 | 2007-07-03 |
| 1588629158 | Jimmy Wayne Pyron | Emergency Medicine | 29 Nw 1st Ln, Lamar, MO 64759-8105 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053972349 | Alanna Diamond | Emergency Medicine | One Hospital Drive Emergency Medicine M652 Dc029.10, Columbia, MO 65212-0001 | 2019-06-26 |
| 1013573146 | Michael Habhab | Emergency Medicine | 1 Hospital Dr Emergency Medicine M562 Dc029.10, Columbia, MO 65212-0001 | 2019-05-14 |
| 1043730716 | Ian James Becker | Emergency Medicine | 1 Hospital Dr # Dc029.10, Columbia, MO 65212-1000 | 2017-06-23 |
| 1649628454 | Sphere Medical Group | Emergency Medicine | 916 Olive St Fl 4, Saint Louis, MO 63101-1459 | 2016-06-02 |
| 1487002523 | Christopher Adam Waranch | Emergency Medicine | University of Missouri Columbia, Department of Emergency Medicine, Columbia, MO 65212-0001 | 2016-05-31 |
| 1306220488 | Andrea Marie-gioia Spangler | Emergency Medicine | 1235 E Cherokee St Dept Of, Springfield, MO 65804-2203 | 2015-07-17 |
| 1205219045 | Maria Christina Creel-bulos | Emergency Medicine | 660 South Euclid Avenue Cb 8072, St Louis, MO 63110 | 2015-06-29 |
| 1669853230 | Megan Litzau | Emergency Medicine | 615 S New Ballas Road, St Louis, MO 63141 | 2015-06-09 |
| 1366829426 | Bigeye Emergency Physicians LLC | Emergency Medicine | 10 South Hospital Deive, Fulton, MO 65251 | 2015-04-28 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
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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.