DR. DIANNA MARIE WILLIS (NPI# 1376641316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376641316 |
| Entity Type | Individual |
| Full Name | DR. DIANNA MARIE WILLIS |
| Credential | D.O. |
| Practice Address |
1305 East Taft Sapulpa OK 74066-6033 |
| Practice Telephone | 9182248425 |
| Practice Fax Number | 9182248426 |
| Mailing Telephone | 9182248425 |
| Mailing Fax Number | 9182248426 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2014-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2405 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100111330D | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033635172 | Dianna Willis | Nurse Practitioner | 2200 S. Monroe St., Tallahassee, FL 32301 | 2017-08-21 |
| Street Address |
1305 EAST TAFT |
| City | SAPULPA |
| State | OK |
| Zip Code | 74066-6033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263541 | Brice Schroeder Chapa | Pharmacist | 11 W Taft, Sapulpa, OK 74066 | 2020-04-07 |
| 1902457179 | Kimberly Vandygriff | Technician | 1115 East Davis Avenue, Sapulpa, OK 74066 | 2019-09-27 |
| 1346717063 | Carla Kay Pilkington | Pharmacist | 1329 South Main St, Unit C, Sapulpa, OK 74066 | 2018-10-31 |
| 1669964433 | Kindful Hospice Sapulpa Tulsa, LLC | Hospice Care, Community Based | 1014 E Dewey Ave Ste D, Sapulpa, OK 74066 | 2018-06-06 |
| 1922492081 | Optimum Laboratory Services, LLC | Clinical Medical Laboratory | 303 East Taft Street, Suite 4, Sapulpa, OK 74066 | 2015-03-26 |
| 1568863371 | Duncan Ornelas | Case Manager/Care Coordinator | 23 Ross Ave., Sapulpa, OK 74066 | 2014-09-11 |
| 1104244417 | Carmisha Harper | Counselor | 23th E. Ross Ave., Sapulpa, OK 74066 | 2014-04-03 |
| 1699118521 | Creek Nation Health | Student in an Organized Health Care Education/Training Program | 1943 South Water, Sapulpa, OK 74066 | 2013-04-10 |
| 1487990438 | Insight Eyecare Pllc | Optometrist | 12140 S Waco Ave, Sapulpa, OK 74066 | 2012-12-19 |
| 1770847733 | Tabitha Sparks | Social Worker | 23 N. Main Street, Sapulpa, OK 74066 | 2012-06-25 |
| Find all providers in zip 74066 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174905848 | Xpress Wellness LLC | Family Medicine | 949 E Taft Ave, Sapulpa, OK 74066-5728 | 2015-06-18 |
| 1952692337 | Advanced Therapeutic Solutions LLC | Family Medicine | 819 E Dewey Ave, Sapulpa, OK 74066-4458 | 2011-04-20 |
| 1225284771 | St John Sapulpa | Family Medicine | 1004 E Bryan, Sapulpa, OK 74066-1368 | 2008-08-15 |
| 1407977366 | Tulsa Health Group, Plc | Family Medicine | 1305 E Taft St Ste 200, Sapulpa, OK 74066-6033 | 2007-04-02 |
| 1306960281 | Gina R. Jones | Family Medicine | 838 N Moccasin St, Sapulpa, OK 74066-2514 | 2007-03-18 |
| 1972600112 | Mission Street Medical Clinic Inc | Family Medicine | 615 S Mission St Ste A, Sapulpa, OK 74066-4635 | 2006-09-20 |
| 1215960810 | Kathy L Stubbs | Family Medicine | 1128 E. Cleveland, Sapulpa, OK 74066 | 2006-07-08 |
| 1154386928 | David Noel Chorley | Family Medicine | 303 E Taft Ave, Suite 3, Sapulpa, OK 74066-5651 | 2006-04-17 |
| 1487614368 | Donald F Johnson | Family Medicine | 1201 E Bryan Ave, Sapulpa, OK 74066-4617 | 2006-03-24 |
| 1558330381 | Terroll Ramsey | Family Medicine | 1021 E Bryan Ave, Sapulpa, OK 74066-4512 | 2006-03-15 |
| Find all providers in SAPULPA | ||||
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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.