DR. GREGORY S WILLIS (NPI# 1184605677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184605677 |
| Entity Type | Individual |
| Full Name | DR. GREGORY S WILLIS |
| Credential | DO |
| Practice Address |
2035 Technology Pkwy Ste 201 Mechanicsburg PA 17050-9497 |
| Mailing Address |
409 S 2nd St Ste 2f Harrisburg PA 17104-1612 |
| Practice Telephone | 7172215940 |
| Practice Fax Number | 7172331939 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2018-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
OS009400L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001722360 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346597622 | Gregory Tone Willis | Social Worker | 3000 Cherry Ln, Austin, TX 78703-2824 | 2012-08-06 |
| 1417941600 | Gregory S Willis | Radiology | 6489 Sw Borland Rd, Tualatin, OR 97062-9798 | 2005-09-02 |
| 1326552902 | Gregory Lee Willis | Acupuncturist | 325 N Wiget Ln Ste 130, Walnut Creek, CA 94598-2435 | 2017-11-19 |
| 1740408475 | Gregory Willis | Nurse Anesthetist, Certified Registered | 200 Stahlhut Dr, Lincoln, IL 62656-5066 | 2007-04-20 |
| Street Address |
2035 TECHNOLOGY PKWY STE 201 |
| City | MECHANICSBURG |
| State | PA |
| Zip Code | 17050-9497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386060 | Brittney Nicole Shirey | Nurse Practitioner | 2035 Technology Pkwy Ste 201, Mechanicsburg, PA 17050-9422 | 2020-08-11 |
| 1376199000 | Shauna Filson | Nurse Practitioner | 2035 Technology Pkwy Ste 201, Mechanicsburg, PA 17050-9422 | 2019-08-19 |
| 1053579698 | Sharon Ann-romano Fitzgerald | Obstetrics & Gynecology | 2035 Technology Pkwy Ste 201, Mechanicsburg, PA 17050-9422 | 2008-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902459381 | Agape Counseling of Central Penn | Counselor | 5249 Simpson Ferry Rd., Mechanicsburg, PA 17050 | 2019-07-24 |
| 1316590300 | Elizabeth Vanpelt | Social Worker | 2023 Mountain Pine Dr., Mechanicsburg, PA 17050 | 2019-07-19 |
| 1760967392 | Megan Michele Okafor | Family Medicine | 335 Lambs Gap Road, Mechanicsburg, PA 17050 | 2018-09-28 |
| 1962980300 | Biodxx, Inc. | Pathology | Biodxx Inc., 100 Bianca Court, Mechanicsburg, PA 17050 | 2018-07-28 |
| 1871071217 | Biozt Corporation | Pathology | 100 Bianca Ct, Mechanicsburg, PA 17050 | 2018-07-28 |
| 1699151183 | Barry Alan Wingard | Surgery | 1615 Jerusalem Road, Mechanicsburg, PA 17050 | 2015-08-06 |
| 1720488737 | Jonathan Thomas Milliron | Physical Therapist | 5103 Carliste Pike, Gilbert Physical Therapy Affiliate of Outpatient Physic, Mechanicsburg, PA 17050 | 2014-08-27 |
| 1952652554 | Behavioral Health PC | Counselor | 1229 Scenery Dr, Mechanicsburg, PA 17050 | 2012-09-24 |
| 1194091546 | John Clinton Stoner | Pediatrics | 5385 Rivendale Blvd., Mechanicsburg, PA 17050 | 2012-03-30 |
| 1922394634 | Mary Ann Nowak Stetz | Social Worker | 1016 Crystal Creek Circle, Mechanicsburg, PA 17050 | 2011-06-21 |
| Find all providers in zip 17050 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| 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 |
|---|---|---|---|---|
| 1588093918 | Rodrigue Mortel | Obstetrics & Gynecology | 1229 Sand Hill Rd, Hummelstown, PA 17036-9791 | 2013-11-06 |
| 1942641865 | Gynecologic Oncology of Lehigh Valley, LLC | Obstetrics & Gynecology | 1611 Pond Rd Ste 101, Allentown, PA 18104-2258 | 2013-07-08 |
| 1750618385 | Robert L Giuntoli | Obstetrics & Gynecology | 4537 Pine St, Philadelphia, PA 19143-1805 | 2009-11-03 |
| 1396989281 | Chester County Ob Gyn Services | Obstetrics & Gynecology | 915 Old Fernhill Road, Building D Suite 502, West Chester, PA 19380 | 2009-04-23 |
| 1962682021 | John T Comercijr Md PC | Obstetrics & Gynecology | 307 Thorn St, Sewickley, PA 15143-1405 | 2007-11-06 |
| 1356496038 | Philadelphia Health & Education Corporation | Obstetrics & Gynecology | 246 North Broad St, 15th Floor South Tower, Philadelphia, PA 19102 | 2007-01-24 |
| 1134279052 | David F Silver | Obstetrics & Gynecology | 150 Corporate Center Dr Ste 202, Camp Hill, PA 17011-1759 | 2007-01-11 |
| 1336230242 | Tower Health Medical Group | Obstetrics & Gynecology | 420 S 5th Ave Bldg N, West Reading, PA 19611-2143 | 2006-09-27 |
| 1245248988 | Eileen M Segreti | Obstetrics & Gynecology | 4815 Liberty Ave Ste 310, Pittsburgh, PA 15224-2156 | 2006-08-04 |
| 1649298498 | Cancer Care for Women PC | Obstetrics & Gynecology | 694 Good Drive, Suite 205, Lancaster, PA 17604 | 2006-07-18 |
| Find all providers with the same taxonomy | ||||
| City | MECHANICSBURG |
| Zip Code | 17050 |
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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.