SELWYN WILLIS


Address: 609 E Whaley St, Longview, TX 75601-6526
Phone: 9037533316

SELWYN WILLIS (NPI# 1356347637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356347637
Entity Type Individual
Full Name SELWYN WILLIS
Credential DPM
Practice Address 609 E Whaley St
Longview
TX 75601-6526
Mailing Address Po Box 2202
Longview
TX 75606-2202
Practice Telephone 9037533316
Practice Fax Number 9037534344
Mailing Telephone 9037533316
Mailing Fax Number 9037533316
Enumeration Date 2005-06-22
Last Update Date 2011-12-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist 1000 TX Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 018656101 05

Office Location

Street Address 609 E WHALEY ST
City LONGVIEW
State TX
Zip Code 75601-6526

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851579643 I E Willis Jr Dpm PC Podiatrist 609 E Whaley St, Longview, TX 75601-6526 2008-02-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992351076 Stebbins Hospice LLC Hospice Care, Community Based 600-602 E. Whaley, Longview, TX 75601 2019-08-14
1720437692 J.l. Miguez, Inc. Hearing Aid Equipment 822 N 4th Street, Longview, TX 75601 2016-06-10
1801244090 Voyage Medical Solutions, LLC Durable Medical Equipment & Medical Supplies 111 W Tyler St, Longview, TX 75601 2016-05-27
1134504426 Siobain Kay Rogers Nurse Practitioner 703 E Marshall Ave Ste 4003, Longview, TX 75601 2015-07-28
1669882882 Snehal Shrivastava Internal Medicine 1402 N 4th St Ste 300, Longview, TX 75601 2014-04-28
1679824221 Jennifer Ruth Williams Occupational Therapist 110 E Tyler St, Longview, TX 75601 2012-09-23
1548525603 Candice Renee Ramos Social Worker 950 N Sixth St, Longview, TX 75601 2012-07-05
1497082747 Jarett S Harkness Pharmacist 511 E. Marshall Avenue, Longview, TX 75601 2009-11-06
1407086333 Udeme Ekpenyong Pediatrics 818 N. 4th St., Longview, TX 75601 2009-07-27
1386823359 Assisted Living Concepts Inc Assisted Living Facility 2104 Alpine Road, Longview, TX 75601 2007-10-26
Find all providers in zip 75601

Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316032451 Longview Foot & Ankle Clinic Podiatrist 783 Commerce Ave, Suite 120, Longview, WA 98632 2006-10-04
1609979145 Karla Ann Trombello Podiatrist 1114 Broadway, Longview, WA 98632 2006-09-07
1316900376 Bert Eagle Sharp Podiatrist 613 N 4th St, Longview, TX 75601-6616 2006-04-10
1306819032 Billy B Westbrook Podiatrist 2828 4th St, Longview, TX 75605-5718 2006-02-13
1629064720 John C Griffin Podiatrist 1106 N 6th St, Longview, TX 75601-5536 2005-09-23
1740273937 Misty Dawn Baker Podiatrist 305 N 5th St, Longview, TX 75601-6518 2005-08-24
1538534672 Foot Clinic of East Texas PC Podiatrist 305 N 5th St, Longview, TX 75601-6518 2015-12-01
1174952600 East Texas Happy Feet Foot Clinic PC Podiatrist 305 N 5th St, Longview, TX 75601-6518 2013-11-05
1952746026 Kirkpatrick Family Care Foot and Ankle Podiatrist 783 Commerce Ave, Suite 120, Longview, WA 98632-2450 2013-05-02
1902199110 Misty Baker The Foot Doctor, PC Podiatrist 2840 Bill Owens Pkwy, Ste A, Longview, TX 75605-2150 2011-05-20
Find all providers in LONGVIEW

Competitor

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City LONGVIEW
Zip Code 75601

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Dataset Information

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.

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