CHARLES E. WILLIS II, M.D., P.A. (NPI# 1295862431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295862431 |
| Entity Type | Organization |
| Organization Name | CHARLES E. WILLIS II, M.D., P.A. |
| Practice Address |
5201 S Westmoreland Rd Dallas TX 75237-1622 |
| Mailing Address |
Po Box 1347 Addison TX 75001-1347 |
| Practice Telephone | 2146230550 |
| Mailing Telephone | 9729919950 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2008-05-10 |
| Authorized Official Name | DR. CHARLES E. WILLIS II (PRESIDENT) |
| Authorized Official Telephone | 2146230550 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
J0365 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 00R03P | 01 |
| TX | 162314201 | 05 |
| Street Address |
5201 S WESTMORELAND RD |
| City | DALLAS |
| State | TX |
| Zip Code | 75237-1622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851372890 | Chequita Dian Badger | Specialist | 5201 S Westmoreland Rd, Dallas, TX 75237-1622 | 2005-11-08 |
| 1760915839 | Jokae Ingram | Psychologist | 5201 S Westmoreland Rd, Dallas, TX 75237-1622 | 2017-04-06 |
| 1932441383 | Healthcare Rehab Group, Inc. | Counselor | 5201 S Westmoreland Rd, Dallas, TX 75237-1622 | 2013-03-25 |
| 1265792063 | Jelani D Ingram | Family Medicine | 5201 S Westmoreland Rd, Dallas, TX 75237-1622 | 2012-05-25 |
| 1417076258 | Rehabilitation Solutions Inc | Occupational Therapist | 5201 S Westmoreland Rd, Dallas, TX 75237-1622 | 2007-03-29 |
| 1063530301 | Behavioral Psychology Clinic, PC | Psychologist | 5201 S Westmoreland Rd, Dallas, TX 75237-1622 | 2007-03-26 |
| 1548229347 | Rosalyn Renee Pryor | Specialist | 5201 S Westmoreland Rd, Dallas, TX 75237-1622 | 2006-03-21 |
| 1407837024 | Jesse C Ingram | Psychologist | 5201 S Westmoreland Rd, Dallas, TX 75237-1622 | 2005-11-10 |
| 1891776829 | Janice M Pettis-ingram | Counselor | 5201 S Westmoreland Rd, Dallas, TX 75237-1622 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223372 | Advanced Medical Services Associates, LLC | Clinic/Center | Advanced Urgent Care Center, 3690 W Wheatland Rd, Suite 150, Dallas, TX 75237 | 2020-10-20 |
| 1225520455 | Ethan William Gingras | Nurse Practitioner | 39769 I-20, Dallas, TX 75237 | 2018-06-04 |
| 1376031450 | Maria North | Student in an Organized Health Care Education/Training Program | Methodist Charlton Medical Center, 3500 W. Wheatland Road, Dallas, TX 75237 | 2018-04-25 |
| 1639671118 | Arquimedes Hernandez Perez | Registered Nurse | 6010 S Westmoreland Rd 423, Dallas, TX 75237 | 2018-03-01 |
| 1275055832 | Tanaka Transport | Non-emergency Medical Transport (VAN) | 4353 Gannon Ln Ste 103-a, Dallas, TX 75237 | 2017-07-14 |
| 1730620543 | Joshua Vong | Physical Therapist | 3107 W. Camp Wisdom Road Suite 131, Dallas, TX 75237 | 2017-03-13 |
| 1821537507 | Votka Sbong | Chiropractor | 2525 W. Wheatland Rd. Ste 230, Dallas, TX 75237 | 2017-02-15 |
| 1508304957 | Archana Srivastava Md Pa | Internal Medicine | 4305 W. Wheatland Road, Suite 130, Dallas, TX 75237 | 2017-02-06 |
| 1295272045 | Stafford Family Enterprises LLC | Dentist | 3306 West Camp Wisdom, Suite 100, Dallas, TX 75237 | 2017-01-31 |
| 1891170585 | Philip James Tyler | Chiropractor | 7125 Marvin D Love Fwy Ste 107, Dallas, TX 75237 | 2015-07-23 |
| Find all providers in zip 75237 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548825110 | Alleviate Pain Center, LLC | Anesthesiology | 5801 Marvin D Love Fwy Ste 105, Dallas, TX 75237-2388 | 2019-05-08 |
| 1366937013 | Ld Anesthesia Consultants, Pllc | Anesthesiology | 5902 Goliad Ave, Dallas, TX 75206-6820 | 2018-06-26 |
| 1245723428 | Ld Wellness Pllc | Anesthesiology | 7331 Gaston Ave Ste 219, Dallas, TX 75214-4131 | 2018-06-12 |
| 1437654043 | Precision Med Consultants | Anesthesiology | 12200 Park Central Dr Ste 300, Dallas, TX 75251 | 2018-03-26 |
| 1750884847 | Midtex Medical Group Pllc- Dallas Series | Anesthesiology | 4228 N Central Expy Ste 104, Dallas, TX 75206-6558 | 2018-03-14 |
| 1427571355 | Interventional Spine & Pain, LLP | Anesthesiology | 8222 Douglas Avenue, Ste. 890, Dallas, TX 75225-7036 | 2017-07-23 |
| 1629506357 | Vanguard Pain Management, Pllc | Anesthesiology | 9080 Harry Hines Blvd Ste 110, Dallas, TX 75235-1700 | 2017-05-25 |
| 1215354972 | Ispine Sports Medicine and Pain Management, Pa | Anesthesiology | 2220 Canton St, Suite 211, Dallas, TX 75201-5923 | 2014-03-19 |
| 1770842338 | Hercules Pain Management LLC | Anesthesiology | 7988 W. Virginia, Suite 100, Dallas, TX 75237 | 2012-05-16 |
| 1336374727 | Tian Zhao | Anesthesiology | 5550 Lbj Fwy Ste 150, Dallas, TX 75240-2303 | 2009-05-28 |
| Find all providers in DALLAS | ||||
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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.