DR. SHERILYN A. WILLIS (NPI# 1316001753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316001753 |
| Entity Type | Individual |
| Full Name | DR. SHERILYN A. WILLIS |
| Credential | M.D. |
| Practice Address |
2017 Rickety Ln Tyler TX 75703-1706 |
| Practice Telephone | 9035338811 |
| Practice Fax Number | 9035935511 |
| Mailing Telephone | 9035338811 |
| Mailing Fax Number | 9035935511 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2012-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | M0608 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 176477102 | 05 |
| Street Address |
2017 RICKETY LN |
| City | TYLER |
| State | TX |
| Zip Code | 75703-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366849101 | Elizabeth Cross Roe | Physician Assistant | 2017 Rickety Ln, Tyler, TX 75703-1706 | 2014-11-21 |
| 1134532401 | Elise Alexandra Elliott | Obstetrics & Gynecology | 2017 Rickety Ln, Tyler, TX 75703 | 2014-06-04 |
| 1174827760 | Diana Gaddy Patterson | Physician Assistant | 2017 Rickety Ln, Tyler, TX 75703-1706 | 2010-12-22 |
| 1164750543 | Sheila Renee Layne | Obstetrics & Gynecology | 2017 Rickety Ln, Tyler, TX 75703-1706 | 2009-11-24 |
| 1578769659 | Jennifer Dale Newton | Obstetrics & Gynecology | 2017 Rickety Ln, Tyler, TX 75703-1706 | 2007-06-25 |
| 1881897114 | Four Seasons Women's Health Pa | Obstetrics & Gynecology | 2017 Rickety Ln, Tyler, TX 75703-1706 | 2007-06-06 |
| 1164586509 | Sunni S. Boren | Obstetrics & Gynecology | 2017 Rickety Ln, Tyler, TX 75703-1706 | 2006-12-20 |
| 1467516807 | Katharina A. Klouda | Obstetrics & Gynecology | 2017 Rickety Ln, Tyler, TX 75703-1706 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155477 | Choice Supportive Care Team Inc. | Family Medicine | 4293 Kinsey Drive, Tyler, TX 75703 | 2020-02-05 |
| 1770052532 | Refinery Chiropractic LLC | Chiropractor | 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 | 2018-11-21 |
| 1215419353 | Deidre Lynn Fergason | Occupational Therapy Assistant | 3505 Old Jacksonville Hwy, Tyler, TX 75703 | 2018-09-05 |
| 1710473681 | Justin Taylor Ross | Dentist | 8938 S Broadway Ave Ste 380, Tyler, TX 75703 | 2018-07-03 |
| 1457843450 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 8938 South Broadway, Ste 480, Tyler, TX 75703 | 2018-06-05 |
| 1083106462 | Integrity Health | Internal Medicine | 5605 Old Bullard Rd Ste B, Tyler, TX 75703 | 2018-06-01 |
| 1427572544 | Cody Wayne Graham | Pharmacist | 5415 S. Broadway Ave., Tyler, TX 75703 | 2017-07-31 |
| 1750805941 | Roger Bryan Chapman | Nurse Practitioner | 6115 New Copeland Rd, Tyler, TX 75703 | 2017-07-28 |
| 1427570084 | Darah Lynne Dahlem | Speech-Language Pathologist | 401 E. Front Street Ste 123, Tyler, TX 75703 | 2017-07-14 |
| 1194267468 | Herman Lester Hampton Jr. | Surgery | 5803 Regents Row, Tyler, TX 75703 | 2016-11-17 |
| Find all providers in zip 75703 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407229693 | Ann H Abrameit | Obstetrics & Gynecology | 1100 E Lake St Ste 260, Tyler, TX 75701-3359 | 2015-11-10 |
| 1093009185 | Jessica Clifton Charest | Obstetrics & Gynecology | 700 Olympic Plaza Cir Ste 602, Tyler, TX 75701 | 2011-06-06 |
| 1184952392 | Womens Environment | Obstetrics & Gynecology | 619 Courtview, Tyler, TX 75703-5916 | 2009-11-28 |
| 1346250149 | William E Brown | Obstetrics & Gynecology | 4290 Kinsey Dr, Ste 200, Tyler, TX 75703-1024 | 2006-08-08 |
| 1336159128 | Amanda L Harris | Obstetrics & Gynecology | 700 Olympic Plaza Cir Ste 503, Tyler, TX 75701-1952 | 2006-08-08 |
| 1528096542 | Arnold D Wharton | Obstetrics & Gynecology | 900 Medical Dr, Tyler, TX 75701-2129 | 2006-06-29 |
| 1740230820 | Trinity Clinic | Obstetrics & Gynecology | 733 S. Fleishel, Tyler, TX 75701 | 2006-05-11 |
| 1568435329 | Joe B Belue | Obstetrics & Gynecology | 534 S Beckham Ave, Tyler, TX 75702-8310 | 2006-02-10 |
| 1710950530 | Stephanie H Carl | Obstetrics & Gynecology | 1720 S Beckham Ave Ste 104, Tyler, TX 75701-4464 | 2006-02-10 |
| 1598736829 | James Louis Wasson | Obstetrics & Gynecology | 649 S Broadway Ave Ste 2, Tyler, TX 75701-1677 | 2006-01-26 |
| Find all providers in TYLER | ||||
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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.