WALTER LEWIS WILLIS (NPI# 1346286598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346286598 |
| Entity Type | Individual |
| Full Name | WALTER LEWIS WILLIS |
| Credential | M.D. |
| Practice Address |
1314 19th Ave Meridian MS 39301-4116 |
| Mailing Address |
Po Box 5183 Meridian MS 39302-5183 |
| Practice Telephone | 6017039260 |
| Practice Fax Number | 6017034050 |
| Mailing Telephone | 6017034282 |
| Mailing Fax Number | 6017034597 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2013-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
11440 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00113996 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225398654 | Walter Willis | Specialist/Technologist, Other | 22451 Cherry Ln, Frankston, TX 75763-4329 | 2012-05-18 |
| Street Address |
1314 19TH AVE |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-4116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780682807 | Teresa B. Redmond | Nurse Practitioner | 1314 19th Ave, Meridian, MS 39301-4116 | 2005-07-12 |
| 1881207918 | Cindy Renee' Quinn | Nurse Practitioner | 1314 19th Ave, Meridian, MS 39301-4195 | 2020-08-28 |
| 1821625773 | Michaela L. Moore | Nurse Practitioner | 1314 19th Ave, Meridian, MS 39301-4116 | 2020-03-23 |
| 1821631128 | Leah Lindsley Ward | Registered Nurse | 1314 19th Ave, Meridian, MS 39301-4116 | 2019-10-20 |
| 1356901169 | Laura Elizabeth Perry | Nurse Practitioner | 1314 19th Ave, Meridian, MS 39301-4116 | 2019-06-14 |
| 1407318231 | Stephen G Fleming | Registered Nurse | 1314 19th Ave, Meridian, MS 39301-4195 | 2019-04-01 |
| 1437624566 | Kayla Lauren Barnett | Nurse Practitioner | 1314 19th Ave, Meridian, MS 39301-4116 | 2018-10-04 |
| 1689158909 | Leah Denise Phillips | Nurse Practitioner | 1314 19th Ave, Meridian, MS 39301-4116 | 2018-09-21 |
| 1114401908 | Connie J Gainey | Nurse Practitioner | 1314 19th Ave, Meridian, MS 39301-4116 | 2018-09-18 |
| 1861988669 | Ashley Leigh Blass | Nurse Practitioner | 1314 19th Ave, Meridian, MS 39301-4116 | 2018-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841679669 | Robert John Hagenberg IIi | Emergency Medicine | 3080 E Gentry Way Ste 210, Meridian, ID 83642 | 2015-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568603330 | Charmaine Lillian Mccleave | Emergency Medicine | 69 Jackson Rd, Hattiesburg, MS 39402 | 2009-03-09 |
| 1144344151 | David L. Merideth | Emergency Medicine | 407b W Parkway Pl, Ridgeland, MS 39157-6031 | 2007-03-16 |
| 1184755308 | Amy B Davis | Emergency Medicine | 121 Pratt Dr Ste 1a, Corinth, MS 38834-6026 | 2007-03-08 |
| 1114087483 | David Butler Johnson | Emergency Medicine | 806 Crestview Dr, Yazoo City, MS 39194-2511 | 2006-12-09 |
| 1952323073 | Pratt Family Medical Clinic, P.a. | Emergency Medicine | 121 Pratt Drive, Suite 1 A, Corinth, MS 38834 | 2006-07-25 |
| 1730106600 | Sean Brian Appleyard | Emergency Medicine | Hancock Medical Center--emergency Dept, 149 Drink Water Blvd, Bay St. Loois, MS 39520 | 2006-07-16 |
| 1699703389 | Lisa D Anderson | Emergency Medicine | 935 Highway 51, Madison, MS 39110-8407 | 2006-06-29 |
| 1265486450 | Emmanuel Kpabitey | Emergency Medicine | 110 Yazoo Ave Ste 121, Clarksdale, MS 38614-4397 | 2006-05-20 |
| 1184614984 | Harvie D Harrier | Emergency Medicine | 114 E Percy St, Bed On The Bayou Cottage B, Indianola, MS 38751-2443 | 2005-10-24 |
| 1669904058 | Daniel Krebs | Emergency Medicine | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2017-04-03 |
| Find all providers with the same taxonomy | ||||
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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.