DR. JASON WILLIS (NPI# 1750700316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750700316 |
| Entity Type | Individual |
| Full Name | DR. JASON WILLIS |
| Credential | M.D., PH.D. |
| Practice Address |
1515 Holcombe Blvd Houston TX 77030-4009 |
| Mailing Address |
Po Box 4439 Houston TX 77210-4439 |
| Practice Telephone | 7137926161 |
| Mailing Telephone | 7137922991 |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2019-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
R6312 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICAID CSHCN | 387864702 | 01 |
| TX | 387864701 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1515 Holcombe Blvd, Houston, TX 770304009 | 7137926161 | |
| 5550 Kelley St, Houston, TX 770261818 | 7137920091 | 8324872097 |
| 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 |
| 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 |
| 1487857983 | Jason S. Willis | Pathology | 4770 Regent Blvd, Irving, TX 75063-2445 | 2007-06-11 |
| 1013948215 | Jason Willis | Physician Assistant | 522 W Newton St, Suite 100, Greensburg, PA 15601-2820 | 2006-07-05 |
| Street Address |
1515 HOLCOMBE BLVD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-4009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102126 | Najat Daw Bitar | Pediatrics | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2005-05-23 |
| 1447851852 | Jamie Dockery | Registered Nurse | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-11-03 |
| 1912507138 | Evelin Lidiet Umanzor | Nurse Practitioner | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-10-27 |
| 1285232447 | Federico A Oppliger Boettcher | Student in an Organized Health Care Education/Training Program | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-10-10 |
| 1043817026 | Lovette Noble Alegado | Nurse Practitioner | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-10-03 |
| 1578179297 | Reem Karami | Student in an Organized Health Care Education/Training Program | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-09-17 |
| 1093328973 | Shaun Brian Tindall II | Nurse Anesthetist, Certified Registered | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-08-28 |
| 1649882879 | Luana Guimaraes De Sousa | Student in an Organized Health Care Education/Training Program | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-08-19 |
| 1225648934 | Karizza J Cruz | Registered Nurse | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-08-06 |
| 1023628377 | Damaris Masila | Registered Nurse | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
| Find all providers in zip 77030 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447636857 | Carl Plager | Internal Medicine | 5151 Edloe Street, Apt. 5406, Houston, TX 77005-1187 | 2015-08-07 |
| 1881018760 | Giora M. Mavligit | Internal Medicine | 2400 N. Braeswood, #211, Houston, TX 77030 | 2014-02-12 |
| 1720395064 | Robert Anthony Weaver | Internal Medicine | 9432 Katy Freeway, Suite 200, Houston, TX 77055-6349 | 2010-09-08 |
| 1184864407 | Wei Lin | Internal Medicine | 1515 Holcombe Blvd Unit 432, Md Anderson Cancer Center, Houston, TX 77030-4000 | 2009-02-26 |
| 1649441601 | Ricardo Hugo Alvarez | Internal Medicine | 925 Gessner Rd Ste 600, Houston, TX 77024-2645 | 2008-03-18 |
| 1528257383 | Gary Edward Erwin | Internal Medicine | 5206 Fm 1960 Rd W Ste 104, Houston, TX 77069-4405 | 2007-10-17 |
| 1134310576 | Brandon George Smaglo | Internal Medicine | 1515 Holcombe Blvd Ste 1350, Houston, TX 77030-4000 | 2007-08-08 |
| 1881729473 | Joseph A. Ludwig Iv | Internal Medicine | 1515 Holcombe Blvvd, Houston, TX 77030-4009 | 2007-02-22 |
| 1205935079 | James L Murray | Internal Medicine | 1155 Pressler St # 3360, Houston, TX 77030-3721 | 2006-09-21 |
| 1659324093 | M D Anderson Physicians Network | Internal Medicine | 6602 Mapleridge, Houston, TX 77081 | 2006-05-18 |
| Find all providers in HOUSTON | ||||
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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.