Jason J Willis (NPI# 1205091410, PAC ID# 6002052321) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1205091410 |
| PAC ID by PECOS | 6002052321 |
| Professional Enrollment ID | I20130411000173 |
| Full Name | Jason J Willis |
| Organization Legal Name | GOLDEN TRIANGLE FOOT AND ANKLE SPECIALISTS PA |
| Address |
6260 Delaware St Beaumont TX 77706-7602 |
| Phone Number | 4098991538 |
| Gender | M |
| Medical School | COLLEGE PODIATRIC MEDICINE AND SURGERY UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduation Year | 2008 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 3072643063 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450346 | BAPTIST BEAUMONT HOSPITAL |
| 450034 | CHRISTUS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 6260 Delaware St, Beaumont, TX 77706-7602 | 4098991538 | GOLDEN TRIANGLE FOOT AND ANKLE SPECIALISTS PA |
| Organization Legal Name | GOLDEN TRIANGLE FOOT AND ANKLE SPECIALISTS PA |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leigh A Harvey | Podiatry | Golden Triangle Foot and Ankle Specialists Pa | 6260 Delaware St, Beaumont, TX 77706-7602 |
| Kolby S White | Podiatry | Golden Triangle Foot and Ankle Specialists Pa | 6260 Delaware St, Beaumont, TX 77706-7602 |
| Debra J Lusk | Podiatry | Golden Triangle Foot and Ankle Specialists Pa | 6260 Delaware St, Beaumont, TX 77706-7602 |
| Neil A Burrell | Podiatry | Golden Triangle Foot and Ankle Specialists Pa | 6260 Delaware St, Beaumont, TX 77706-7602 |
| Street Address |
6260 DELAWARE ST |
| City | BEAUMONT |
| State | TX |
| Zip | 77706-7602 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leigh A Harvey | Podiatry | Golden Triangle Foot and Ankle Specialists Pa | 6260 Delaware St, Beaumont, TX 77706-7602 |
| Kolby S White | Podiatry | Golden Triangle Foot and Ankle Specialists Pa | 6260 Delaware St, Beaumont, TX 77706-7602 |
| Debra J Lusk | Podiatry | Golden Triangle Foot and Ankle Specialists Pa | 6260 Delaware St, Beaumont, TX 77706-7602 |
| Neil A Burrell | Podiatry | Golden Triangle Foot and Ankle Specialists Pa | 6260 Delaware St, Beaumont, TX 77706-7602 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua B Rhodes | Optometry | Blount Kimball Medical Optometry Pa | 5910 Muela Creek Dr, Suite A, Beaumont, TX 77706-1009 |
| Leigh B Kimball | Optometry | Blount Kimball Medical Optometry Pa | 5910 Muela Creek Dr, Suite A, Beaumont, TX 77706-1009 |
| Samir N Patel | Optometry | Blount Kimball Medical Optometry Pa | 5910 Muela Creek Dr, Suite A, Beaumont, TX 77706-1009 |
| James M Bruyn | Podiatry | 6025 Metropolitan Dr, Suite 290, Beaumont, TX 77706-2407 | |
| Abigail E Craanen | Physical Therapy | Brain and Spine Center of Southeast Texas, Pllc | 6025 Metropolitan Dr, Suite 205, Beaumont, TX 77706-2409 |
| Clifton William Hancock | Orthopedic Surgery | Brain and Spine Center of Southeast Texas, Pllc | 6025 Metropolitan Dr, Suite 205, Beaumont, TX 77706-2409 |
| Eliseo Cummings | Chiropractic | Brain and Spine Center of Southeast Texas, Pllc | 6025 Metropolitan Dr, Suite 205, Beaumont, TX 77706-2409 |
| Christle D Colbert | Physical Medicine and Rehabilitation | Brain and Spine Center of Southeast Texas, Pllc | 6025 Metropolitan Dr, Suite 205, Beaumont, TX 77706-2409 |
| Sujin Yu | Neurology | Brain and Spine Center of Southeast Texas, Pllc | 6025 Metropolitan Dr, Suite 205, Beaumont, TX 77706-2409 |
| Erwin Lo | Neurosurgery | Brain and Spine Center of Southeast Texas, Pllc | 6025 Metropolitan Dr, Suite 205, Beaumont, TX 77706-2409 |
| Find all physicians in zip 77706 | |||
| City | BEAUMONT |
| Zip Code | 77706 |
| Specialty | PODIATRY |
| City + Specialty | BEAUMONT + PODIATRY |
Please comment or provide details below to improve the information on Jason J 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.