DR. DONALD CLINTON WILLIS (NPI# 1902870611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902870611 |
| Entity Type | Individual |
| Full Name | DR. DONALD CLINTON WILLIS |
| Credential | M.D. |
| Practice Address |
325 N State of Franklin Rd Fl 1 Johnson City TN 37604 |
| Mailing Address |
Po Box 699 Mountain Home TN 37684-0699 |
| Practice Telephone | 4234397272 |
| Practice Fax Number | 4234397235 |
| Mailing Telephone | 4234397272 |
| Mailing Fax Number | 4234397235 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2019-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
MD57056 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 039811000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1401 Centerville Rd, Suite 400, Tallahassee, FL 323084647 | 8504313360 | 8504313370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326265398 | Donald James Willis | Social Worker | 157 U St Nw, Washington, DC 20001-1621 | 2007-04-19 |
| 1124196423 | Donald Clyde Willis | Obstetrics & Gynecology | 1442 Ethan Way, Ste 200, Sacramento, CA 95825-2231 | 2006-12-04 |
| 1316940372 | Donald L. Willis | Urology | 1601 Redwood Rd, Ste A, San Marcos, TX 78666-1423 | 2005-05-24 |
| 1750347076 | Donald Willis | Family Medicine | 313 W Country Club Rd, Suite # 9, Roswell, NM 88201-5804 | 2006-04-25 |
| Street Address |
325 N STATE OF FRANKLIN RD FL 1 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619960713 | Ann Maria Gebka Rouse | Obstetrics & Gynecology | 325 N State of Franklin Rd Fl 1, Johnson City, TN 37604-6056 | 2005-08-24 |
| 1225591837 | Kara Beth Weishaar | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd Fl 1, Johnson City, TN 37604-6056 | 2019-04-10 |
| 1437611852 | Natalie Nicole Broadway-robertson | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd Fl 1, Johnson City, TN 37604-6056 | 2019-04-03 |
| 1871080028 | Emily Paulus | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd Fl 1, Johnson City, TN 37604-6056 | 2018-04-13 |
| 1174052864 | Philip Low Salstrom IIi | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd Fl 1, Johnson City, TN 37604-6056 | 2017-06-07 |
| 1316479678 | Andrea N Hensley | Nurse Practitioner | 325 N State of Franklin Rd Fl 1, Johnson City, TN 37604-6056 | 2017-03-28 |
| 1194119404 | Anna K. Justice | Nurse Practitioner | 325 N State of Franklin Rd Fl 1, Johnson City, TN 37604-6056 | 2015-03-25 |
| 1356780480 | Elizabeth A Lane | Dietitian, Registered | 325 N State of Franklin Rd Fl 1, Johnson City, TN 37604 | 2013-06-21 |
| 1326486366 | Bethany Loven Reynolds | Obstetrics & Gynecology | 325 N State of Franklin Rd Fl 1, Johnson City, TN 37604-6056 | 2013-06-12 |
| 1871849240 | Gloria M Dudney | Registered Nurse | 325 N State of Franklin Rd Fl 1, Johnson City, TN 37604-6056 | 2012-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407866296 | Timothy Patrick Canavan | Obstetrics & Gynecology | 325 N State of Franklin Rd Fl 1, Johnson City, TN 37604 | 2006-08-08 |
| 1588659403 | Uchenna C Nwosu | Obstetrics & Gynecology | 325 N State of Franklin Rd, Johnson City, TN 37604-6062 | 2005-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942864467 | Sara C Linarducci | Obstetrics & Gynecology | 903 W Eastland Ave, Nashville, TN 37206-3531 | 2019-04-30 |
| 1144655853 | Rutherford Perinatal Associates Pllc | Obstetrics & Gynecology | 9204 Sheridan Park Ct, Brentwood, TN 37027-1748 | 2013-09-12 |
| 1831530906 | The Perinatal Group | Obstetrics & Gynecology | 2292 Dalton Dr Ste D, Clarksville, TN 37043-8946 | 2013-07-17 |
| 1417152604 | Bill L Duke II Md PC | Obstetrics & Gynecology | 102 Boyd St, Ashland City, TN 37015-1601 | 2007-06-18 |
| 1043332463 | Lynlee Marie Wolfe | Obstetrics & Gynecology | 1925 Alcoa Hwy, Suite 6-south, Knoxville, TN 37920-1507 | 2007-04-05 |
| 1780608331 | Mid-south Perinatal Associates PC | Obstetrics & Gynecology | 620 Skyline Dr., Jackson, TN 38301 | 2006-07-27 |
| 1184662579 | Mid-south Maternal Fetal Medicine PC | Obstetrics & Gynecology | 6266 Poplar Ave, Memphis, TN 38119-4713 | 2006-06-04 |
| 1568409894 | Jorge Gabriel Lodeiro | Obstetrics & Gynecology | 132 W Sevier Ave, Suite 1, Kingsport, TN 37660-3764 | 2006-06-02 |
| 1912968843 | Christian Michael Briery | Obstetrics & Gynecology | 979 E Third Street, Suite C 825, Chattanooga, TN 37403 | 2006-03-30 |
| 1811989098 | Charles David Adair | Obstetrics & Gynecology | 902 Mccallie Ave, Chattanooga, TN 37403-2724 | 2005-08-16 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
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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.