SHERITA D WILLIS (NPI# 1740326610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740326610 |
| Entity Type | Individual |
| Full Name | SHERITA D WILLIS |
| Credential | MD |
| Practice Address |
616 W Lee Ave Osceola AR 72370-3002 |
| Practice Telephone | 8707020999 |
| Mailing Telephone | 8707020999 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-01-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | E5031 | AR | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 40746 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
616 W LEE AVE |
| City | OSCEOLA |
| State | AR |
| Zip Code | 72370-3002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053811752 | Jiva Marie Pate | Family Medicine | 616 W Lee Ave, Osceola, AR 72370-3002 | 2018-02-19 |
| 1407388267 | Carolyn Coleman | Nurse Practitioner | 616 W Lee Ave, Osceola, AR 72370-3002 | 2017-03-31 |
| 1174959795 | Willis Clinic Express | Clinic/Center | 616 W Lee Ave, Ste 2a, Osceola, AR 72370-3002 | 2013-09-16 |
| 1063619567 | Willis Clinic | Clinic/Center | 616 W Lee Ave, Osceola, AR 72370-3002 | 2007-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417411570 | Southern Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 922 West Kizer St., Osceola, AR 72370 | 2019-01-23 |
| 1831431733 | Shaquata Davis | Social Worker | 1487 West Keiser Ave. Suite 1, Osceola, AR 72370 | 2013-03-19 |
| 1821348855 | Mary Kathryn Campbell | Speech-Language Pathologist | 315 E Union, Osceola, AR 72370 | 2012-09-18 |
| 1518230697 | Nikki D Moore | Case Manager/Care Coordinator | 1487 West Keiser Ave Ste I, Osceola, AR 72370 | 2012-02-20 |
| 1134497845 | Tim Allen | Case Manager/Care Coordinator | 3201 W. Keiser Ave., Osceola, AR 72370 | 2011-12-08 |
| 1184929663 | Gail Renee Barger | Counselor | 3201 West Keiser, Osceola, AR 72370 | 2011-01-14 |
| 1134423833 | Donna Susan Richmond | Speech-Language Pathologist | 1866 S Hwy 77, Osceola, AR 72370 | 2011-01-10 |
| 1972807592 | Meredith Annette Harris | Case Manager/Care Coordinator | 3201 West Keiser Ave, Osceola, AR 72370 | 2010-12-23 |
| 1093018871 | Tabatha G Bingham | Case Manager/Care Coordinator | 3201 W. Keiser, Osceola, AR 72370 | 2010-12-16 |
| 1588974109 | Sheila Lynette Rumph | Case Manager/Care Coordinator | 1487 W. Keiser Ave. Suite 1, Osceola, AR 72370 | 2010-10-15 |
| Find all providers in zip 72370 | ||||
| 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 |
|---|---|---|---|---|
| 1982230421 | Cynthia Joyce Robinson | Family Medicine | 104 E Greenbriar Dr, Osceola, AR 72370-2820 | 2020-03-17 |
| 1932469780 | John Kendrick Graham | Family Medicine | 58267 Beech Rd, Osceola, IN 46561-9225 | 2012-05-25 |
| 1134414329 | Aixsa Perez M D P C | Family Medicine | 1712 Lincolnway W, Suite A, Osceola, IN 46561-1933 | 2011-06-15 |
| 1265735682 | David Jameson | Family Medicine | 531 Beebe St # 546, Osceola, NE 68651 | 2010-12-07 |
| 1487973673 | Yulanda Belle Harrison | Family Medicine | 616 W. Keiser, Osceola, AR 72370-3504 | 2010-05-27 |
| 1336308949 | Thomas J Lower Do PC | Family Medicine | 127 W Washington St, Osceola, IA 50213-1248 | 2008-06-09 |
| 1003004136 | James David Kimball | Family Medicine | 1015 Lakeshore Dr, Osceola, IA 50213-1604 | 2007-10-15 |
| 1114115045 | Stephen Kennedy Do LLC | Family Medicine | 1415 Lincoln Way W, Suite O, Osceola, IN 46561-2062 | 2007-10-04 |
| 1043417637 | Southern Iowa General Medicine LLC | Family Medicine | 105 E Mclane St, Suite 400, Osceola, IA 50213-1456 | 2007-06-28 |
| 1922120195 | Mississippi County Primary Care | Family Medicine | 602 W Union Ave Ste B, Osceola, AR 72370-3014 | 2007-04-06 |
| Find all providers in OSCEOLA | ||||
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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.