DR. JON TIMOTHY WILLIE (NPI# 1194934034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194934034 |
| Entity Type | Individual |
| Full Name | DR. JON TIMOTHY WILLIE |
| Credential | M.D., PH.D. |
| Practice Address |
660 S Euclid Ave Campus Box 8057 Saint Louis MO 63110-1010 |
| Practice Telephone | 3143623570 |
| Practice Fax Number | 3143622107 |
| Mailing Telephone | 3143623570 |
| Mailing Fax Number | 3143622107 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 2005018363 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
660 S EUCLID AVE CAMPUS BOX 8057 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902802127 | Joseph M Thornhill | Anesthesiology | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2005-06-22 |
| 1184231441 | Nilton Salles Rosa Neto | Internal Medicine | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2020-09-29 |
| 1609482066 | Mathew Gregory Gielow | Nurse Anesthetist, Certified Registered | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2020-09-21 |
| 1407467426 | Nesreen Jaafar | Psychiatry & Neurology | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2020-08-13 |
| 1194335141 | Tara Wilmot | Dietitian, Registered | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2020-08-05 |
| 1922617059 | Belma Kulovac | Registered Nurse | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2020-07-24 |
| 1356968606 | Steven Duy Tran Ngo | Urology | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2020-07-02 |
| 1154948560 | Nicholas Borcherding | Pathology | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2020-07-01 |
| 1669097739 | Olivia Yvonne Pittman | Psychiatry & Neurology | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2020-06-14 |
| 1477182301 | Connie Gan | Student in an Organized Health Care Education/Training Program | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2020-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912276486 | Paul Edward Stohr | Neurological Surgery | 2 Kirken Knoll Dr, Saint Louis, MO 63131-2310 | 2011-12-29 |
| 1275801896 | George Emanuel Mendelsohn | Neurological Surgery | 24 Loren Woods, Saint Louis, MO 63124-1903 | 2011-12-09 |
| 1770802076 | Aneela Darbar | Neurological Surgery | 3635 Vista Ave, Grand Blvd, Saint Louis, MO 63110-0250 | 2010-05-26 |
| 1386850881 | David D Limbrick Jr. | Neurological Surgery | 1 Childrens Pl Ste 4e, Ste 4e, Saint Louis, MO 63110-1002 | 2007-05-14 |
| 1376560805 | Tae Sung Park | Neurological Surgery | 1 Childrens Pl Fl 1, 1st Fl, Saint Louis, MO 63110-1002 | 2006-07-17 |
| 1841218278 | Matthew D Smyth | Neurological Surgery | 1 Childrens Pl Ste 4s20, Ste 4s20, Saint Louis, MO 63110-1002 | 2006-07-17 |
| 1265420269 | Robert J Bernardi IIi | Neurological Surgery | 11605 Studt Ave, Suite One, Saint Louis, MO 63141-7052 | 2005-10-12 |
| 1457351926 | Gregory Joseph Bailey | Neurological Surgery | 1035 Bellevue Ave Ste 500, Saint Louis, MO 63117-1843 | 2005-07-27 |
| 1326048935 | Charles A Wetherington | Neurological Surgery | 6725 Chippewa St, Saint Louis, MO 63109-2534 | 2005-07-26 |
| 1306846928 | Armond L Levy | Neurological Surgery | 13625 Big Bend Rd, Saint Louis, MO 63122-3915 | 2005-07-26 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
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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.