Sherita D Willis (NPI# 1740326610, PAC ID# 5799877643) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1740326610 |
| PAC ID by PECOS | 5799877643 |
| Professional Enrollment ID | I20070822001504 |
| Full Name | Sherita D Willis |
| Address |
616 W Lee Ave Osceola AR 72370-3002 |
| Gender | F |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 041316 | SOUTH MISSISSIPPI COUNTY REGIONAL MEDICAL CENTER |
| 040020 | ST BERNARDS MEDICAL CENTER |
| 040069 | GREAT RIVER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 616 W Lee Ave, Osceola, AR 72370-3002 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
616 W LEE AVE |
| City | OSCEOLA |
| State | AR |
| Zip | 72370-3002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katey Lynn Taylor | Nurse Practitioner | Life Strategies Counseling, Inc. | 1487 W Keiser I, Osceola, AR 72370 |
| Lisa Jo Booker | Nurse Practitioner | Doctors Health Group, Inc | 700 W Keiser, St. Bernards First Care Osceola, Osceola, AR 72370 |
| Sumner R Cullom | Family Medicine | Doctors Health Group, Inc | 700 W Keiser, St. Bernards First Care Osceola, Osceola, AR 72370 |
| Luther B Keller | Optometry | Dr. L B Keller, Optometrist, Plc | 102 Plantation Dr, Osceola, AR 72370-1837 |
| Christopher C Ryen | Diagnostic Radiology | Associated Radiologists Ltd | 611 W Lee Ave, Smc Regional Medical Center, Osceola, AR 72370-3001 |
| Michael J Smith | Diagnostic Radiology | Associated Radiologists Ltd | 611 W Lee Ave, Smc Regional Medical Center, Osceola, AR 72370-3001 |
| Ching Shan Lin | Internal Medicine | 608 W Lee Ave, Osceola, AR 72370-3002 | |
| Sejal P Thakor | Family Medicine | Mississippi County Hospital System | 602 W Union Ave B, Mississippi County Primary Care Physicians, Osceola, AR 72370-3014 |
| John A Burnett | Psychiatry | Families, Inc of Arkansas | 3201 W Keiser Ave, Osceola, AR 72370-3467 |
| Leslee M Lowe | Nurse Practitioner | Families, Inc of Arkansas | 3201 W Keiser Ave, Osceola, AR 72370-3467 |
| Find all physicians in zip 72370 | |||
| City | OSCEOLA |
| Zip Code | 72370 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | OSCEOLA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Sherita D Willis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.