ALLIRIC I. WILLIS (NPI# 1366475287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366475287 |
| Entity Type | Individual |
| Full Name | ALLIRIC I. WILLIS |
| Credential | M.D. |
| Practice Address |
1100 Walnut St Suite 500 Philadelphia PA 19107-5563 |
| Practice Telephone | 2159556750 |
| Practice Fax Number | 2158238222 |
| Mailing Telephone | 2159556750 |
| Mailing Fax Number | 2158238222 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2015-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | MD424463 | PA | Allopathic & Osteopathic Physicians |
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
MD424463 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1016680610001 | 05 | |
| PA | PERSONAL CHOICE | 1621481 | 01 |
| PA | HEALTH PARTNERS | 35488 | 01 |
| PA | KEYSTONE MERCY | 30032812 | 01 |
| PA | AETNA HMO | 5810126 | 01 |
| PA | HIGHMARK BLUE SHIELD | 1621481 | 01 |
| PA | KEYSTONE IBC | 2298641000 | 01 |
| PA | RAILROAD MEDICARE | P00385401 | 01 |
| PA | 1016680610004 | 05 |
| Street Address |
1100 WALNUT ST SUITE 500 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-5563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932193182 | Michael D Stillman | Internal Medicine | 1100 Walnut St, Suite 601, Philadelphia, PA 19107-5563 | 2005-09-02 |
| 1760968150 | Jessica Christina Russo | Genetic Counselor, MS | 1100 Walnut St, Philadelphia, PA 19107-5563 | 2018-07-18 |
| 1326481565 | Jonathan Pan | Internal Medicine | 1100 Walnut St, 3rd Floor, Philadelphia, PA 19107-5563 | 2013-04-08 |
| 1891030961 | Lori Pellegrino | Nurse Practitioner | 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 | 2012-11-30 |
| 1013281633 | Catherine Gill-preston | Nurse Practitioner | 1100 Walnut St, Mob 7th Floor, Philadelphia, PA 19107-5563 | 2012-02-29 |
| 1316225857 | Shawnna Cannaday | Nurse Practitioner | 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 | 2011-08-02 |
| 1003104274 | Anirudh Kohli | Surgery | 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 | 2011-07-21 |
| 1730486366 | Michael Pucci | Surgery | 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 | 2011-02-17 |
| 1801102223 | Matthew William Laporta | Surgery | 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 | 2010-08-23 |
| 1437393634 | Anne L. Rosenberg, M.d. | Specialist | 1100 Walnut St, Suite 303, Philadelphia, PA 19107-5563 | 2009-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235654286 | Dorotea Mutabdzic | Surgery | Fox Chase Cancer Center, 333 Cottman Ave, Dept of Surgical Oncology, Philadelphia, PA 19111 | 2017-08-11 |
| 1124400536 | Ashlie Lauren Nadler | Surgery | 3509 N. Broad St. Temple University Hospital, Graduate Medical Education, Philadelphia, PA 19140 | 2015-06-22 |
| 1609216886 | Gordon Francis Schwartz Md PC | Surgery | 237 S 18th St, # 21-d, Philadelphia, PA 19103-6161 | 2013-07-02 |
| 1619452885 | Max David Lefton | Surgery | 333 Cottman Ave, Philadelphia, PA 19111-2434 | 2018-10-03 |
| 1942683164 | Si Wai Zih | Surgery | 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 | 2015-07-07 |
| 1871981985 | University of Penn-medical Group | Surgery | 3400 Civic Center Blvd, 3 West Pavillion, Philadelphia, PA 19104-5127 | 2014-12-26 |
| 1205154341 | Stephanie Heaton Greco | Surgery | 333 Cottman Ave, Philadelphia, PA 19111 | 2010-05-13 |
| 1003040353 | Geoffrey Wayne Krampitz | Surgery | 1100 Walnut St Fl 5, Philadelphia, PA 19107 | 2009-05-14 |
| 1306010608 | Andrea Porpiglia | Surgery | 333 Cottman Ave, Philadelphia, PA 19111-2434 | 2008-04-17 |
| 1942471024 | Fhcs Physician Services - Surgical Oncology | Surgery | 3998 Red Lion Rd, Ste 235, Philadelphia, PA 19114-1436 | 2008-03-18 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
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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.