JASON S. WILLIS (NPI# 1487857983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487857983 |
| Entity Type | Individual |
| Full Name | JASON S. WILLIS |
| Credential | MD |
| Practice Address |
4770 Regent Blvd Irving TX 75063-2445 |
| Mailing Address |
3213 Drexel Drive Suite 400 Dallas TX 75205 |
| Practice Telephone | 9729344300 |
| Mailing Telephone | 2144377975 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2019-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
N9146 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679603153 | Jason Willis | Internal Medicine | 1101 12th Ave, Nw, Mercy Ardmore Hospital Wound Care Center, Ardmore, OK 73401 | 2007-03-06 |
| 1558991059 | Jason Willis | Case Manager/Care Coordinator | 807 Lawn Ave, Sellersville, PA 18960-1594 | 2020-01-23 |
| 1265834402 | Jason Willis | Nurse Practitioner | 2200 Childrens Way, Nashville, TN 37232-0005 | 2014-09-18 |
| 1750700316 | Jason Willis | Internal Medicine | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2014-04-10 |
| 1437574084 | Jason Alexander Willis | Physician Assistant | 472 Rankin Dr, Marion, NC 28752-6568 | 2014-02-19 |
| 1689942054 | Jason Willis | Case Manager/Care Coordinator | 6701 Highway 67 Bldg 4, Benton, AR 72015-8909 | 2011-12-13 |
| 1205091410 | Jason J Willis | Podiatrist | 6260 Delaware St, Beaumont, TX 77706-7602 | 2008-07-28 |
| 1013948215 | Jason Willis | Physician Assistant | 522 W Newton St, Suite 100, Greensburg, PA 15601-2820 | 2006-07-05 |
| Street Address |
4770 REGENT BLVD |
| City | IRVING |
| State | TX |
| Zip Code | 75063-2445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467433532 | Wei Michael Si | Pathology | 4770 Regent Blvd, Irving, TX 75063-2445 | 2005-11-07 |
| 1275895922 | Adeel Raza | Pathology | 4770 Regent Blvd, Irving, TX 75063-2445 | 2012-06-08 |
| 1245494657 | Tanya Varma | Pathology | 4770 Regent Blvd, Irving, TX 75063-2445 | 2008-07-15 |
| 1023211596 | Brian Michael Levenson | Pathology | 4770 Regent Blvd, Irving, TX 75063-2445 | 2007-06-11 |
| 1437352044 | Jacqueline Emmons | Pathology | 4770 Regent Blvd, Irving, TX 75063-2445 | 2007-06-09 |
| 1689731861 | Suzanne Humphries Kreisberg | Pathology | 4770 Regent Blvd, Irving, TX 75063-2445 | 2007-01-03 |
| 1790721538 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 4770 Regent Blvd, Irving, TX 75063-2445 | 2006-06-21 |
| 1548226483 | Shiril M. Hombal | Pathology | 4770 Regent Blvd, Irving, TX 75063-2445 | 2006-04-20 |
| 1730151317 | Ameripath Texas, Inc. | Clinical Medical Laboratory | 4770 Regent Blvd, Irving, TX 75063-2445 | 2006-02-07 |
| 1295707388 | Yehung Vivian Luo | Pathology | 4770 Regent Blvd, Irving, TX 75063-2445 | 2006-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386288868 | Fiesta Lifecare Pharmacy 8 LLC | Pharmacy | 412 E Riley St, Freer, TX 75063 | 2019-10-29 |
| 1013578491 | Bobbie Snow Masenda | Nurse Practitioner | 6161 N Sh 161 Service Rd, Unit 200, Irving, TX 75063 | 2019-06-26 |
| 1164989620 | Ellen Green | Occupational Therapist | 7701 Las Colinas Ridge Suite 110, Irving, TX 75063 | 2019-02-20 |
| 1417412503 | Heda Enterprises, Pllc | Optometrist | 2400 Martket Place Blvd, # 180, Irving, TX 75063 | 2019-02-04 |
| 1861956542 | Hannah Kennedy | Specialist/Technologist | 8249 Ranchview Dr Apt 3087, Irving, TX 75063 | 2019-01-26 |
| 1447732805 | Ziprad Inc | Clinic/Center | 7750 N Macarthur Blvd Ste 120-365, Irving, TX 75063 | 2018-09-02 |
| 1457831646 | Laura Robinson | Specialist/Technologist | 8641 Mill Creek Rd, Irving, TX 75063 | 2018-08-16 |
| 1457845208 | Padmaja Jagdish Ambre | Nurse Practitioner | 516, Raton Pass, Irving, TX 75063 | 2018-06-15 |
| 1407394588 | Optum Infusion Services 500, Inc. | Pharmacy | 8400 Esters Blvd Ste 185, Rm 119, Irving, TX 75063 | 2017-02-08 |
| 1376086561 | Mika Claire Smith | Social Worker | 1175 Kinwest Pky, #100, Irving, TX 75063 | 2016-11-21 |
| Find all providers in zip 75063 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881657245 | Tanner L Mattison | Pathology | 6221 Riverside Dr, Suite 119, Irving, TX 75039-3541 | 2006-04-07 |
| 1184608028 | Carlos Manuel Torres | Pathology | 330 Las Colinas Blvd E, Suite 1316, Irving, TX 75039-5510 | 2005-12-05 |
| 1235112715 | Thuy-dung Thi Ardaman | Pathology | 8400 Esters Blvd, Suite 190, Irving, TX 75063-2203 | 2005-11-29 |
| 1467433292 | Inform Diagnostics, Inc | Pathology | 6655 North Macarthur Boulevard, Irving, TX 75039-2243 | 2005-11-09 |
| 1467433532 | Wei Michael Si | Pathology | 4770 Regent Blvd, Irving, TX 75063-2445 | 2005-11-07 |
| 1790789154 | Armineh Kajoian | Pathology | 6655 N Macarthur Blvd, Irving, TX 75039-2443 | 2005-06-13 |
| 1275895922 | Adeel Raza | Pathology | 4770 Regent Blvd, Irving, TX 75063-2445 | 2012-06-08 |
| 1134363260 | Lori Nicole Varghese | Pathology | 1901 N Macarthur Blvd, Irving, TX 75061-2220 | 2009-04-20 |
| 1184874125 | Kevin Orlando Turner | Pathology | 6655 N Macarthur Blvd, Irving, TX 75039 | 2008-09-26 |
| 1295991198 | Reenu Malhotra | Pathology | 6655 N Macarthur Blvd, Irving, TX 75039-2443 | 2008-07-31 |
| Find all providers in IRVING | ||||
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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.