DR. WENDY SUMMER WILLIS (NPI# 1700188232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700188232 |
| Entity Type | Individual |
| Full Name | DR. WENDY SUMMER WILLIS |
| Credential | DPM |
| Practice Address |
531 Seventh Avenue Albany GA 31701 |
| Practice Telephone | 2298833535 |
| Practice Fax Number | 2298833783 |
| Mailing Telephone | 2298833535 |
| Mailing Fax Number | 2298833783 |
| Enumeration Date | 2010-12-05 |
| Last Update Date | 2020-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
00306 | AL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | MEDICARE PTAN | 102I489616 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932196623 | Wendy Holden Willis | Chiropractor | 570 E Main St, Wytheville, VA 24382-2033 | 2005-09-29 |
| 1477559334 | Wendy I Willis | Social Worker | 229 W Spring St, New Albany, IN 47150-3641 | 2005-06-24 |
| 1467942615 | Wendy Willis | Case Manager/Care Coordinator | 105 Hospital Rd, Sonora, CA 95370-5227 | 2018-05-14 |
| 1568684702 | Wendy H Willis | Dental Hygienist | 94 Connecticut Blvd, E Hartford, CT 06108 | 2007-05-03 |
| Street Address |
531 SEVENTH AVENUE |
| City | ALBANY |
| State | GA |
| Zip Code | 31701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124678347 | Carehere LLC | Family Medicine | Carehere Clinic- City of Albany, Ga, 2000 North Monroe Street, Albany, GA 31701 | 2019-09-19 |
| 1801450788 | Amy Brock | Nurse Practitioner | 417 4th Avenue, Albany, GA 31701 | 2019-04-26 |
| 1346740131 | Kawana Kesia Mullins | Contractor | 1103 S Davis St, Albany, GA 31701 | 2018-02-19 |
| 1689198558 | Marion Elizabeth Toscano | Counselor | 226 South Jefferson Street, Frederick, MD 31701 | 2017-08-01 |
| 1871014803 | Mann Dental Care LLC | Clinic/Center | 1403 South Slappey Blvd, Albany, GA 31701 | 2017-06-29 |
| 1457716805 | Amanda Banks Thomas | Advanced Practice Midwife | 803 13th Avenue, Albany, GA 31701 | 2015-12-29 |
| 1265805212 | David Lee Berry Jr. | Counselor | 230 South Jackson Street, Suite 228 & 229, Albany, GA 31701 | 2015-11-12 |
| 1750725099 | Charles Jacob Stoudenmire | Pathology | 507 W 3rd Ave Ste 7, Albany, GA 31701 | 2013-04-17 |
| 1760615413 | Nicholas L Misulia | Anesthesiology | 417 Third Avenue, Albany, GA 31701 | 2009-08-28 |
| 1336378280 | Monique L Moseley | Nurse Practitioner | 806 14th Avenue, Suite C, Albany, GA 31701 | 2009-07-13 |
| Find all providers in zip 31701 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770749822 | Donovan Audley Gowdie | Podiatrist | 1412 W Oakridge Dr, Albany, GA 31707-5307 | 2008-07-29 |
| 1538142740 | Joseph A Crisafulli | Podiatrist | 120 Russell Rd, Albany, NY 12205-1950 | 2005-11-22 |
| 1861927592 | Stephen F Alayli | Podiatrist | 2709 Meredyth Dr Ste 450, Albany, GA 31707-0220 | 2017-05-01 |
| 1306231600 | Joseph Park | Podiatrist | 6 Executive Park Dr, Albany, NY 12203 | 2015-04-02 |
| 1265824478 | Hudson Valley Foot Associates, LLP | Podiatrist | 4 Palisades Dr, Suite 250a, Albany, NY 12205-1449 | 2015-02-25 |
| 1952743262 | Alysaa Ashley Phyars | Podiatrist | 1365 Washington Ave Ste 300, Albany, NY 12206-1098 | 2013-07-28 |
| 1588960165 | Michael Dolen | Podiatrist | 1365 Washington Ave, Suite 300, Albany, NY 12206-1068 | 2011-01-31 |
| 1558677765 | Cumberland Foot and Ankle Center | Podiatrist | 723 Burkesville Rd, Albany, KY 42602-1654 | 2010-08-25 |
| 1275776981 | Anna Kupriyeva | Podiatrist | 1692 Central Ave, Suite 1, Albany, NY 12205-4046 | 2009-04-10 |
| 1407028699 | Joseph A Crisafulli | Podiatrist | 120 Russell Rd, Albany, NY 12205-1950 | 2008-03-27 |
| Find all providers in ALBANY | ||||
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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.