MR. JEFFREY TIMOTHY WILLSEY (NPI# 1437374808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437374808 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY TIMOTHY WILLSEY |
| Credential | CNMT |
| Practice Address |
4100 W 3rd St Dayton OH 45428-9000 |
| Mailing Address |
135 Lodewood Dr Centerville OH 45458 |
| Practice Telephone | 9372686511 |
| Mailing Telephone | 9374390391 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471N0900X |
Radiologic Technologist Specialization: Nuclear Medicine Technology |
016234 | OH | Technologists, Technicians & Other Technical Service Providers |
| N | 2471N0900X |
Radiologic Technologist Specialization: Nuclear Medicine Technology |
N2546923 | OH | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
4100 W 3RD ST |
| City | DAYTON |
| State | OH |
| Zip Code | 45428-9000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861496549 | Andrew T Su | Internal Medicine | 4100 W 3rd St, Dayton, OH 45428-9000 | 2005-06-09 |
| 1578162038 | Olivia Marie Falter | Audiologist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-10-25 |
| 1295334084 | Sarah M Miller | Music Therapist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-10-22 |
| 1366049918 | Chadwick Ryan Watiker | Social Worker | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-10-07 |
| 1174137301 | Danielle Marie Pike | Psychologist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-09-04 |
| 1497368856 | Dinah Callender | Registered Nurse | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-08-26 |
| 1801405352 | Alice Wei Ho | Pharmacist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-07-29 |
| 1801413356 | Sarah Teresa Hierath | Pharmacist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-07-01 |
| 1942823349 | Sloane Rudolf | Optometrist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-05-20 |
| 1720600331 | James Douglas Boodt | Student in an Organized Health Care Education/Training Program | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407414527 | Punyawat Laohakanjanasiri | Dentist | Dayton Va Medical Center/dental Services, 4100 W Third, Dayton, OH 45428 | 2019-06-04 |
| 1942716303 | John Korea Lee | Pharmacist | 4100 W. 3rd Street, Attn: Pharmacy Call Center 408pcc, Dayton, OH 45428 | 2017-12-21 |
| 1366876138 | Amber J Enterline | Pharmacist | 4100 W 3rd Street, Attn Pharmacy, Dayotn, OH 45428 | 2013-08-28 |
| 1114155793 | Jeffrey Michael Munn | Dentist | 4100 West 3rd St., Dayton V.a. Medical Center, Dayton, OH 45428 | 2009-06-23 |
| 1558516724 | Tawnyell Nikko Culpepper | Social Worker | 4100 Va Medical Center, Social Work Department Suite 122, Trotwood, OH 45428 | 2008-12-01 |
| 1255586376 | Prasad V Venkat | Physical Therapist | 4100 W.third Street, Dayton, OH 45428 | 2008-11-18 |
| 1457435687 | Reba E Crowell | Nurse Practitioner | 4100 West 3rd Street, Dayton, OH 45428 | 2006-10-24 |
| 1386728632 | Alicia Joann Weekes-johnson | Counselor | 4100 W Third St. Mhlc Bldg 302, Veterans Administration Medical Center, Dayton, OH 45428 | 2006-10-24 |
| 1497843049 | Margaret Irene Kruckemeyer | Nurse Practitioner | 4100 West Third Street (117), Va Medical Center, Dayton, OH 45428 | 2006-10-10 |
| 1003902545 | Mohamed Elmouelhi | Internal Medicine | 4100 W.third St., Dayton Vamc (11c), Dayton, OH 45428 | 2006-10-04 |
| Find all providers in zip 45428 | ||||
| Taxonomy Code | 2471N0900X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Nuclear Medicine Technology |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235354929 | Stephanie N Lee | Radiologic Technologist | 4100 W Third St, Dayton, OH 45429 | 2007-04-16 |
| 1003031410 | Amy Joann Mcmullen | Radiologic Technologist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376703124 | Tatiana Victorovna Fryer | Radiologic Technologist | 10607 Cinderella Dr, Cincinnati, OH 45242 | 2008-06-16 |
| 1104014299 | David Charles Kelly Jr. | Radiologic Technologist | 8915 Cherry St, Blue Ash, OH 45242-7846 | 2007-10-15 |
| 1235169301 | National Pet Centers LLC | Radiologic Technologist | 19250 Bagley Road, Suite 203, National Pet Centers LLC Dba Great Lakes Medical Imagin, Middleburg Heights, OH 44130 | 2006-07-04 |
| 1578599882 | Diagnostics Imaging, LLC | Radiologic Technologist | 319 Marion Pike, Coal Grove, OH 45638-2958 | 2006-06-26 |
| 1770513830 | Dedicated Pet Imaging, LLC | Radiologic Technologist | 2315 Sunset Blvd, Steubenville, OH 43952-2496 | 2006-07-04 |
Please comment or provide details below to improve the information on MR. JEFFREY TIMOTHY WILLSEY.
| 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.