DR. ZACHARY WILLIS (NPI# 1265847016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265847016 |
| Entity Type | Individual |
| Full Name | DR. ZACHARY WILLIS |
| Credential | D.O. |
| Practice Address |
2345 Dougherty Ferry Rd Saint Louis MO 63122-3313 |
| Mailing Address |
243 Valley View Ridge Dr Valley Park MO 63088-1338 |
| Practice Telephone | 3149669100 |
| Mailing Telephone | 2398515888 |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2014-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 2014017955 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144749011 | Zachary Deleon Willis | Non-emergency Medical Transport (VAN) | 1881 Airport Fwy Apt 515, Euless, TX 76040-4061 | 2017-09-12 |
| 1265041073 | Zachary Randall Willis | Physician Assistant | 50 Leroy St, Potsdam, NY 13676-1799 | 2020-07-28 |
| 1457821878 | Zachary Dynell Willis | Student in an Organized Health Care Education/Training Program | 3580 Wilshire Blvd Ste 2000, Los Angeles, CA 90010-2533 | 2018-11-28 |
| 1760729230 | Zachary S Willis | Community Health Worker | 325 Sw Frazier Ave, Topeka, KS 66606-1963 | 2013-01-03 |
| 1639495641 | Zachary Willis | Student in an Organized Health Care Education/Training Program | 3333 Burnet Ave, Ml 5018, Cincinnati, OH 45229-3039 | 2010-04-15 |
| Street Address |
2345 DOUGHERTY FERRY RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63122-3313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093706608 | John Moran | Nurse Anesthetist, Certified Registered | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2005-11-02 |
| 1053938217 | Dina Helina | Family Medicine | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2020-07-02 |
| 1457978876 | Nicholas Faron | Family Medicine | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2020-07-01 |
| 1366069767 | Kayla Mae Thomason | Family Medicine | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2020-07-01 |
| 1669092722 | Cardinal Cardiovascular Center LLC | Internal Medicine | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2020-04-19 |
| 1144858523 | Shawn Khosla | Family Medicine | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2020-03-31 |
| 1255992905 | Tyler Lyman Marler | Family Medicine | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2019-06-24 |
| 1427619196 | Jacob Yankowitz | Family Medicine | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2019-06-24 |
| 1639730328 | Monica Anne Unterreiner | Family Medicine | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2019-06-24 |
| 1073174751 | Kimberly Schwarzkopf | Family Medicine | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2019-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659933174 | Keela Rushing | Physical Therapist | 439 S Kirkwood Rd Ste 200, Kirkwood, MO 63122 | 2019-07-04 |
| 1730643461 | Kirkwood Family Dental | Dentist | 333 S Kirkwood Road, Suite 105, Kirkwood, MO 63122 | 2019-01-28 |
| 1477061166 | Total Access Urgent Care, PC | Clinic/Center | 2980 Dougherty Ferry Rd, Saint Louis, MO 63122 | 2018-01-16 |
| 1760933469 | Missouri Cvs Pharmacy, L.l.c | Durable Medical Equipment & Medical Supplies | 10820 Manchester Rd, Kirkwood, MO 63122 | 2016-10-18 |
| 1518321041 | M. Kathleen Blanchard | Counselor | 11042 Manchester Rd., Kirkwood, MO 63122 | 2016-04-11 |
| 1265801914 | Kim Grega | Counselor | 700 S Kirkwood Rd, Kirkwood, MO 63122 | 2015-09-23 |
| 1245617943 | Mark Edward Taylor | Dentist | 610 North Geyer, Kirkwood, MO 63122 | 2015-05-01 |
| 1467843094 | Mary Elizabeth Boomgarden | Physical Therapist | 9645 Big Bend Boulevard, Saint Louis, MO 63122 | 2015-02-18 |
| 1760725717 | Michael Diller Counseling | Counselor | 144 W Madison Avenue, Kirkwood, MO 63122 | 2013-03-28 |
| 1427309954 | Anne Marie Delaplain | Dentist | 725 Laclede Station Road, Webster Groves, MO 63122 | 2012-09-24 |
| Find all providers in zip 63122 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003336934 | Bradley Kushner | Surgery | 660 S Euclid Ave Fl 9, Saint Louis, MO 63110-1010 | 2017-06-21 |
| 1982088571 | Maxwell Tanyi Fohtung | Surgery | 4949 W Pine Blvd, Saint Louis, MO 63108 | 2015-07-14 |
| 1376920538 | Jordan M Kirsch | Surgery | 660 S. Euclid Ave, Cb 8109, Saint Louis, MO 63110-1020 | 2015-04-27 |
| 1003231002 | Mysorekar Surgical | Surgery | 8342 Delcrest Dr, Apt 303, Saint Louis, MO 63124-2100 | 2014-02-27 |
| 1962765974 | Lauren K. M. Barron | Surgery | 7421 Nottingham Ave, Saint Louis, MO 63119-3341 | 2012-06-25 |
| 1831452952 | Bola Gabriel Aladegbami | Surgery | 4901 Forest Park Ave Ste 630, Mail Stop 90-75-587, Saint Louis, MO 63108-1444 | 2012-06-22 |
| 1235491663 | Andrew Yeh | Surgery | 1 Childrens Pl Ste 6110, Saint Louis, MO 63110-1002 | 2012-06-12 |
| 1922310481 | Radhika Kausalya Smith | Surgery | 1040 N Mason Rd Ste 120, Ste 120, Saint Louis, MO 63141-6361 | 2010-07-12 |
| 1730316290 | Katherine Glover-collins | Surgery | 4921 Parkview Pl Ste 5f, Ste 5f, Saint Louis, MO 63110-1032 | 2009-06-11 |
| 1245473156 | Nishant Raj | Surgery | 11155 Dunn Rd Ste 108n, Saint Louis, MO 63136-6148 | 2009-04-08 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63122 |
Please comment or provide details below to improve the information on DR. ZACHARY WILLIS.
| 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.