MR. MICHAEL L WILLIS (NPI# 1235363847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235363847 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL L WILLIS |
| Credential | ADULT NURSE PRACTITI |
| Practice Address |
3201 Kings Highway Beth Israel Medical Center Brooklyn NY 11234-2625 |
| Mailing Address |
3201 Kings Highway Brooklyn NY 11234-2625 |
| Practice Telephone | 7186776669 |
| Mailing Telephone | 7186776669 |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2009-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
302775 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598835910 | Michael Willis | Chiropractor | 910 Hampshire Rd Ste U, Westlake Village, CA 91361-2896 | 2006-11-09 |
| 1912091869 | Michael Kenneth Willis | Dentist | 47 Barkley Cir, Fort Myers, FL 33907-7531 | 2006-10-03 |
| 1912917238 | Michael S Willis | Dentist | 445 Henslee Drive, Ste B, Dickson, TN 37055 | 2006-08-09 |
| 1013933720 | Michael Jeffrey Willis | Counselor | 2833 E Genesee St, Syracuse, NY 13224-1524 | 2006-07-14 |
| 1528540382 | Michael Dwayne Willis | Student in an Organized Health Care Education/Training Program | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2018-08-29 |
| 1780032706 | Michael Willis | Podiatrist | 1850 Westen St, Bowling Green, KY 42104-4152 | 2016-05-31 |
| 1164854154 | Michael B Willis | Physician Assistant | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2013-08-01 |
| 1629101506 | Michael Willis | Psychologist | 6610 Se Quakervale Rd, Riverton, KS 66770-4185 | 2007-03-13 |
| 1194888776 | Michael Willis | Anesthesiology | 1051 Hickory St, Melbourne, FL 32901-1962 | 2006-12-18 |
| 1023197464 | Michael C. Willis | Orthopaedic Surgery | 2702 8th Ave N, Billings, MT 59101-1107 | 2006-11-05 |
| Street Address |
3201 KINGS HIGHWAY BETH ISRAEL MEDICAL CENTER |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11234-2625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609806918 | Robert Obedian | Radiology | 3201 Kings Highway, Brooklyn, NY 11234 | 2006-07-03 |
| 1629502372 | Radmila Yoav | Physician Assistant | 3201 Kings Highway, Mount Sinai Brooklyn, Brooklyn, NY 11234-2410 | 2017-04-19 |
| 1619271053 | Marie Rodolphe Time | Physician Assistant | 3201 Kings Highway, Brooklyn, NY 11239 | 2010-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861000549 | Vanessa Clouden | Counselor | 651 East 59th St, Brooklyn, NY 11234 | 2020-07-17 |
| 1467098871 | Stephan Jean-claude | Licensed Practical Nurse | 853 Est 52nd St., Kings, NY 11234 | 2019-11-20 |
| 1356983167 | Barbara Baptiste | Family Medicine | 4710 Flatlands Ave, Brooklyn, NY 11234 | 2019-10-14 |
| 1376199141 | Sabrina Boutros | Physician Assistant | 1618 East 34th Street, Brooklyn, NY 11234 | 2019-08-16 |
| 1740846252 | Angelie Dawn Banaybanay Flores | Physical Therapist | 3214 Kings Highway, Brooklyn, New York, NY 11234 | 2019-05-10 |
| 1891273033 | Diana Haughton-bennett | Nurse Practitioner | 2067 E 60th St, Brooklyn, NY 11234 | 2018-07-31 |
| 1518450030 | Eduard Galper | Technician/Technologist | 2062 E 36th St, Brooklyn, NY 11234 | 2018-06-09 |
| 1538658448 | Vanessa Lee Hernandez | Nurse Practitioner | 3201 Kings Highway-emergency Room, Brooklyn, NY 11234 | 2018-05-07 |
| 1609377126 | Keisha Batson | Behavior Technician | 1669 E 48th St, Brooklyn, NY 11234 | 2018-02-21 |
| 1598280323 | Flex Rehab Physical Therapy PC | Physical Therapist | 1950 Coleman St, Brooklyn, NY 11234 | 2017-08-14 |
| Find all providers in zip 11234 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334100 | Yin Kong | Nurse Practitioner | 7105 3rd Avenue, #523, 7105 3rd Avenue, #52, Brooklyn, NY 11209-1308 | 2020-10-21 |
| 1922612944 | Rosemarie Elizabeth Crosdale | Nurse Practitioner | 9019 Avenue A, Brooklyn, NY 11236-1208 | 2020-09-08 |
| 1144832247 | Marise Richard | Nurse Practitioner | 1106 E 57th St, Brooklyn, NY 11234-3312 | 2020-08-19 |
| 1487264008 | Dina Levkova | Nurse Practitioner | 303 Webster Ave Apt 2f, Brooklyn, NY 11230-1256 | 2020-08-07 |
| 1972113694 | Winsome Elizabeth Benain | Nurse Practitioner | 9621 Avenue B, Brooklyn, NY 11236-1321 | 2020-08-06 |
| 1396355327 | Samuel S Wilburn | Nurse Practitioner | 75 Jackson St Apt 1, Brooklyn, NY 11211-2245 | 2020-08-04 |
| 1710595335 | Aimee Huang | Nurse Practitioner | 96 Bay 10th St, Brooklyn, NY 11228-3702 | 2020-07-20 |
| 1700494812 | Jessica B Schwab | Nurse Practitioner | 75 Jackson St Apt 1fh, Brooklyn, NY 11211-2245 | 2020-07-15 |
| 1225654916 | Leasha Lindsay | Nurse Practitioner | 1214 E 87th St, Brooklyn, NY 11236-4929 | 2020-06-18 |
| 1760002323 | Satchell-lee Tyrell | Nurse Practitioner | 537 Rogers Ave, Brooklyn, NY 11225-5445 | 2020-04-23 |
| Find all providers in BROOKLYN | ||||
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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.