ANDREW KENNETH WILLIS (NPI# 1578517603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578517603 |
| Entity Type | Individual |
| Full Name | ANDREW KENNETH WILLIS |
| Credential | MD |
| Practice Address |
1201 W 38th St Austin TX 78705-1006 |
| Mailing Address |
418 Brady Ln Austin TX 78746-5502 |
| Practice Telephone | 5123241010 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2008-04-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | L2753 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 147670701 | 05 | |
| TX | BCBS | 8A9105 | 01 |
| TX | 147670703 | 05 | |
| TX | BCBS | 8A6353 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861045676 | Andrew John Willis | Behavior Technician | 1855 2nd St Ste B, Concord, CA 94519-2623 | 2019-07-20 |
| 1831599943 | Andrew Howard Willis | Physical Therapist | 924 Main St, Niagara Falls, NY 14301-1110 | 2014-08-26 |
| 1891844395 | Andrew Ryan Willis | Pharmacist | 6136 Lake Murray Blvd, La Mesa, CA 91942-2502 | 2007-01-10 |
| 1154412187 | Andrew Willis | Specialist | 160 E Hanover Ave, Morristown, NJ 07960-3150 | 2006-09-27 |
| Street Address |
1201 W 38TH ST |
| City | AUSTIN |
| State | TX |
| Zip Code | 78705-1006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851387500 | Manjusha Arun Gupte | Internal Medicine | 1201 W 38th St, Austin, TX 78705-1006 | 2005-09-27 |
| 1881294692 | Gabrielle Alexis Volkmer | Lactation Consultant, Non-RN | 1201 W 38th St, Austin, TX 78705-1006 | 2020-10-30 |
| 1023631009 | Tran Le | Student in an Organized Health Care Education/Training Program | 1201 W 38th St, Austin, TX 78705-1006 | 2020-05-25 |
| 1083240105 | Allison Tessmer | Nurse Practitioner | 1201 W 38th St, Austin, TX 78705-1006 | 2020-03-20 |
| 1639732514 | Alyssa Smidlein | Nurse Practitioner | 1201 W 38th St, Austin, TX 78705-1006 | 2019-04-17 |
| 1851856785 | Katrina Elizabeth Zeigler Sherman | Advanced Practice Midwife | 1201 W 38th St, Austin, TX 78705-1006 | 2019-02-05 |
| 1154885986 | Austin Medical Partners-imc Louis Ealdama Ramos Md Pllc | Hospitalist | 1201 W 38th St, Austin, TX 78705-1006 | 2019-01-25 |
| 1336603240 | Kaitlin Jessica Steimer | Clinical Nurse Specialist | 1201 W 38th St, Austin, TX 78705-1006 | 2019-01-24 |
| 1225502909 | Anastasia Erb | Nurse Practitioner | 1201 W 38th St, Austin, TX 78705-1006 | 2019-01-16 |
| 1174092373 | Janeka Marquetta Harris | Nurse Practitioner | 1201 W 38th St, Austin, TX 78705-1006 | 2018-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894559 | Ben Aviel | Specialist/Technologist | 2501 Leon, Austin, TX 78705 | 2020-08-31 |
| 1700408739 | Julie Marie Dorland | Obstetrics & Gynecology | Ut Austin Dell Medical School Obgyn Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2020-05-13 |
| 1952941155 | Oluwakemi Yemi-ese | Counselor | 2717 Rio Grande Street, Austin, TX 78705 | 2020-01-15 |
| 1285272765 | Lisa K Wheeler | Counselor | 2520 Longivew Street, Suite 313, Austin, TX 78705 | 2019-12-16 |
| 1033767637 | Olivia May Neel | Specialist/Technologist | 620 West 24th Street, 208a, Austin, TX 78705 | 2019-08-28 |
| 1336795202 | Grace Evelyn Martin | Specialist/Technologist | University of Texas, 110 Inner Campus Drive, Austin, TX 78705 | 2019-08-15 |
| 1801450317 | Nicole Buchele | Obstetrics & Gynecology | Ut Austin Dell Medical School-obgyn, Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2019-04-30 |
| 1124502794 | Joan Margaret Carroll | Physician Assistant | 3000 N, I-35, Suite 600, Austin, TX 78705 | 2018-09-19 |
| 1841797636 | Corbin Anne Weaver | Obstetrics & Gynecology | Medical Park Tower, 1301 W. 38th St., Suite 705, Austin, TX 78705 | 2018-04-09 |
| 1740707892 | Christine Marie Falk | Specialist/Technologist | 2810 Hemphill Park, Apt 211, Austin, TX 78705 | 2017-08-29 |
| Find all providers in zip 78705 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992326078 | Sarah N Ibanez Shaw | Emergency Medicine | Ut Austin Dell Medical School Em Residency Program, 1400 N. I-35, Suite 2.230, Austin, TX 78701 | 2020-04-30 |
| 1740817956 | Woody Starcloud Green | Emergency Medicine | Dell Emergency Medicine Residency Program, 1400 N. Interstate Hwy 35, Suite 2.230, Austin, TX 78701 | 2020-03-26 |
| 1942864590 | Mitchell Warren | Emergency Medicine | The University of Texas At Austin Dell Medical School, 1400 N. I-35, Suite 2.230, Austin, TX 78701 | 2019-04-30 |
| 1871056820 | Erin Lincoln | Emergency Medicine | Ut Austin Dell Med School Em Residency Program, 1400 N I-35, Suite 2.230, Austin, TX 78701 | 2019-04-08 |
| 1194213686 | William Aufricht | Emergency Medicine | University of Texas At Austin Dell Medical School, 1400 N. I-35 Suite 2.230, Austin, TX 78701 | 2018-04-30 |
| 1609383660 | Amelia Southwest Health | Emergency Medicine | 5903 Long Ct, Austin, TX 78730-4920 | 2017-12-29 |
| 1669908471 | Tea Jonsson | Emergency Medicine | 6836 Bee Caves Rd Ste 112, Austin, TX 78746-5059 | 2017-05-11 |
| 1851754642 | John Donahoe | Emergency Medicine | 7202 Crandower Ct, Austin, TX 78741-6662 | 2016-03-30 |
| 1972977833 | Remedy Urgent Care Pllc | Emergency Medicine | 5901 Vega Aveneu, Suite 100, Austin, TX 78735 | 2015-11-16 |
| 1528443660 | Austin Five Star Er, P.a. | Emergency Medicine | 8721 Manchaca Road, Austin, TX 78748 | 2015-07-29 |
| Find all providers in AUSTIN | ||||
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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.