CARL ROGASTON WILLIS (NPI# 1154376259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154376259 |
| Entity Type | Individual |
| Full Name | CARL ROGASTON WILLIS |
| Credential | M.D. |
| Practice Address |
2004 Hayes St Suite 720 Nashville TN 37203-2646 |
| Practice Telephone | 6152842310 |
| Practice Fax Number | 6152842385 |
| Mailing Telephone | 6152842310 |
| Mailing Fax Number | 6152842385 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2017-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
037952 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS OF TN IND PROVIDER # | 4090607 | 01 |
| TN | 3894844 | 05 |
| Street Address |
2004 HAYES ST SUITE 720 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37203-2646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831169556 | Tania Ann Ferguson | Orthopaedic Surgery | 2004 Hayes St, Suite 100, Nashville, TN 37203-2646 | 2006-01-25 |
| 1811519762 | Allie Farrell | Nurse Practitioner | 2004 Hayes St, Nashville, TN 37203-2646 | 2020-05-14 |
| 1609416148 | Charles Alexander Logan | Nurse Practitioner | 2004 Hayes St, Nashville, TN 37203-2646 | 2020-01-13 |
| 1780146357 | Holly J Hill | Occupational Therapist | 2004 Hayes St, Nashville, TN 37203-2646 | 2019-04-03 |
| 1700268091 | Hannah Cloutier | Physician Assistant | 2004 Hayes St, Suite 200, Nashville, TN 37203-2646 | 2015-06-23 |
| 1689917379 | Margaret Phillps Greathouse | Physical Therapist | 2004 Hayes St, Suite 545, Nashville, TN 37203-2646 | 2013-04-01 |
| 1033255542 | Karl M Rogers Md | Non-Pharmacy Dispensing Site | 2004 Hayes St, Ste 720, Nashville, TN 37203-2646 | 2007-01-30 |
| 1063528651 | William Joseph Harb | Colon & Rectal Surgery | 2004 Hayes St, Suite 715, Nashville, TN 37203-2646 | 2006-08-23 |
| 1336188507 | Connie L Rogers | Nurse Practitioner | 2004 Hayes St, Suite 720, Nashville, TN 37203-2646 | 2006-06-05 |
| 1770538118 | Nashville Oncology Associates, PC | Internal Medicine | 2004 Hayes St, Suite 720, Nashville, TN 37203-2646 | 2006-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031843 | Results-ast Jv, LLC | Physical Therapist | 1000 Church Street, Nashville, TN 37203 | 2020-10-23 |
| 1922607159 | Results-ast Jv, LLC | Physical Therapist | 222 22nd Avenue North, Suite 100, Nashville, TN 37203 | 2020-10-19 |
| 1427663152 | Amber Nicole Fox | Nurse Practitioner | 2300 Patterson Street-endo Dept, Nashville, TN 37203 | 2020-09-10 |
| 1144839648 | Tasha Yarris | Nurse Practitioner | 412 Dr D.b. Todd Jr Blvd., Nashville, TN 37203 | 2020-07-30 |
| 1013536655 | Colby Wollenman | Student in an Organized Health Care Education/Training Program | Vanderbilt Orthopaedic Institute 1215 21st Ave S, Medical Center East, South Tower, Suite 4200, Nashville, TN 37203 | 2020-04-14 |
| 1477193738 | Ames Center for Counseling LLC | Social Worker | 1900 Church Street #300, Nashville, TN 37203 | 2020-01-14 |
| 1750922498 | Lisa Michelle Gregory Beck | Nurse Practitioner | 2221 Murphy Avenue, Nashville, TN 37203 | 2019-10-03 |
| 1235634023 | Jackson Primary Care | Family Medicine | 2010 Church St Ste 526, Nashville, TN 37203 | 2018-03-26 |
| 1932614237 | Caitlin Butcher | Social Worker | 402 22nd Ave North, Nashville, TN 37203 | 2017-12-08 |
| 1780194068 | Casey Lynn O'quinn | Behavioral Analyst | 2108 Hayes St, Nashville, TN 37203 | 2017-10-02 |
| Find all providers in zip 37203 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336779974 | Verdi Oncology Tennessee, PC | Internal Medicine | 2004 Hayes St Ste 720, Nashville, TN 37203-2658 | 2020-01-23 |
| 1649406687 | H2u Wellness Centers, LLC | Internal Medicine | 3322 West End Ave, Nashville, TN 37203 | 2009-06-04 |
| 1932321395 | Mia A Levy | Internal Medicine | Vanderbilt Ingram Cancer Center, 691 Prb, Nashville, TN 37232-6838 | 2007-05-03 |
| 1023066149 | Tennessee Oncology Pllc | Internal Medicine | 2004 Hayes St Ste 350, Nashville, TN 37203-2650 | 2006-05-04 |
| 1174517593 | Michael Norbert Neuss | Internal Medicine | 2220 Pierce Avenue, Vanderbilt Ingram Cancer Center, Vanderbilt University Medical Centr, Nashville, TN 37232-6683 | 2005-08-31 |
| 1952875775 | Bethany Cones | Internal Medicine | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0021 | 2019-01-15 |
| 1538671797 | Sarah Murawski | Internal Medicine | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0021 | 2017-10-27 |
| 1659761203 | Tennessee Oncology, Pllc | Internal Medicine | 250 25th Ave N, Suite 200, Nashville, TN 37203-1632 | 2015-02-03 |
| 1629497953 | Karen Shakita Riggins | Internal Medicine | 1161 21st Ave S, Medical Center North D-3100, Nashville, TN 37232-0011 | 2014-04-15 |
| 1306283197 | Kerry Roe Schaffer | Internal Medicine | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2013-06-03 |
| Find all providers in NASHVILLE | ||||
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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.