LARRY GRANT WILLIS


Address: 1110 N Lee Ave, Oklahoma City, OK 73103-2612
Phone: 4052309000

LARRY GRANT WILLIS (NPI# 1952309155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952309155
Entity Type Individual
Full Name LARRY GRANT WILLIS
Credential MD
Practice Address 1110 N Lee Ave
Oklahoma City
OK 73103-2612
Mailing Address Po Box 268981
Oklahoma City
OK 73126-8981
Practice Telephone 4052309000
Practice Fax Number 4052309443
Mailing Telephone 4052309000
Mailing Fax Number 4052309375
Enumeration Date 2005-07-12
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RR0500X Internal Medicine
Specialization: Rheumatology
10557 OK Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OK BCBS OF OKLAHOMA 730714291-016 01

Other Providers LARRY WILLIS

NPI Name Taxonomy Address Enumeration
1558375295 Larry Franklin Willis Ophthalmology 335 E Parker Rd, Morganton, NC 28655-5112 2006-07-28
1891793584 Larry Willis Specialist 110 29th Ave N, Ste 202, Nashville, TN 37203-1401 2005-07-07

Office Location

Street Address 1110 N LEE AVE
City OKLAHOMA CITY
State OK
Zip Code 73103-2612

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306840327 Kendall Leigh Phillips Physician Assistant 1110 N Lee Ave, Oklahoma City, OK 73103-2612 2005-06-08
1871959239 Andrew Blake Smith Physician Assistant 1110 N Lee Ave, Oklahoma City, OK 73103-2612 2016-01-14
1891925046 Kathryn Lynne Wood Physical Therapist 1110 N Lee Ave, Oklahoma City, OK 73103-2612 2009-07-22
1629024161 St. Anthony Midtown Ambulatory Surgery Center Clinic/Center 1110 N Lee Ave, Oklahoma City, OK 73103-2612 2006-05-26
1942260013 Philip Sherwood Shurley Physician Assistant 1110 N Lee Ave, Mcbride Clinic, Inc., Oklahoma City, OK 73103-2612 2006-03-24
1578562864 John Patrick Evans Orthopaedic Surgery 1110 N Lee Ave, Oklahoma City, OK 73103-2612 2005-07-19
1518966142 Scott Loray Rose Physician Assistant 1110 N Lee Ave, Oklahoma City, OK 73103-2612 2005-07-15
1053319889 Mcbride Clinic Inc Occupational Therapist 1110 N Lee Ave, Oklahoma City, OK 73103-2612 2005-07-14
1649278987 Robert Fryer Hynd Internal Medicine 1110 N Lee Ave, Oklahoma City, OK 73103-2612 2005-07-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568946846 Medical Center Pain Clinic, LLC Pain Medicine 1226 N Shartel Ave Suite 300, Oklahoma City, OK 73103 2018-09-21
1801321369 Jessica Reed Community Health Worker 432 Nw11th St, Oklahoma City, OK 73103 2017-04-21
1982070975 Retinal Care Diagnostics LLC Ophthalmology 1111 N Lee Ave Ste 210, Oklahoma City, OK 73103 2015-08-13
1316329063 Nurturing Positive Solutions Marriage & Family Therapist 307 N. W. 21st Street, Oklahoma City, OK 73103 2015-06-18
1871916700 Good Shepherd Ministries Clinic/Center 222 Nw 12th Street, Oklahoma City, OK 73103 2014-01-29
1275973448 Christine Donnette Jeffers Case Manager/Care Coordinator 433 Nw 25 #10, Oklahoma, OK 73103 2013-07-02
1629327358 Kelly Rose Whelan Social Worker 416 Nw 23rd St, Oklahoma City, OK 73103 2012-09-10
1801160585 Susan Elizabeth Bigbie Registered Nurse 1214 N Hudson, Oklahoma City, OK 73103 2012-02-28
1548533441 Doris Gayle Poteet Licensed Practical Nurse 1214 N. Hudson, Oklahoma, OK 73103 2012-02-23
1538440698 Wendi J Rollins Case Manager/Care Coordinator 600 Nw 23, Suite 108, Oklahoma City, OK 73103 2011-09-02
Find all providers in zip 73103

Taxonomy Information

Taxonomy Code 207RR0500X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Rheumatology

Taxonomy Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720480387 Phillip J Wright Internal Medicine 1409 Harden Ct, Oklahoma City, OK 73118-1055 2014-09-25
1649430810 Latisha Dawn Heinlen Internal Medicine 6516 N Olie Ave Ste G, Oklahoma City, OK 73116-7399 2008-06-11
1316064876 Richard Jacob Hess Internal Medicine 3109 Lamp Post Ln, Oklahoma City, OK 73120-5618 2007-03-22
1699822379 Mohammad Faisal Khan Internal Medicine 1015 N Shartel Ave, Oklahoma City, OK 73102 2007-01-04
1235237728 Mary Beth Humphrey Internal Medicine 941 Stanton L Young Blvd, Bseb 306e, Oklahoma City, OK 73104-5019 2006-09-20
1962471813 Joan T Merrill Internal Medicine 825 Ne 13th St, Omrf E110, Oklahoma City, OK 73104-5005 2006-03-14
1811968399 Christine Ellen Codding Internal Medicine 1211 North Shartel Avenue, Suite 700, Oklahoma City, OK 73103-2433 2006-01-31
1174979942 John Goetzinger Internal Medicine 800 Stanton L Young Blvd # 6400, Oklahoma City, OK 73104-5018 2016-05-10
1407211048 Saints Medical Group, LLC Internal Medicine 13401 N Western Ave, Suite 210, Oklahoma City, OK 73114-1408 2015-12-28
1588050652 Nicholas Matthew Lytle Internal Medicine 800 Stanton L Young Blvd, Oklahoma City, OK 73104-5018 2015-04-15
Find all providers in OKLAHOMA CITY

Competitor

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City OKLAHOMA CITY
Zip Code 73103

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Dataset Information

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.

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