CURTIS WILLIS (NPI# 1215463351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215463351 |
| Entity Type | Individual |
| Full Name | CURTIS WILLIS |
| Credential | C.R.N.A. |
| Practice Address |
2105 E South Blvd Montgomery AL 36116-2409 |
| Mailing Address |
704 Hillsboro Ln Helena AL 35080-3714 |
| Practice Telephone | 3342882100 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2105 E SOUTH BLVD |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36116-2409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902858640 | Alton Rance Wiggins | Nurse Anesthetist, Certified Registered | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2006-05-17 |
| 1023617016 | Latoshia Donald | Registered Nurse | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2020-10-20 |
| 1710592589 | Iyiad Alabdul Razzak | Student in an Organized Health Care Education/Training Program | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2020-09-09 |
| 1487277513 | Stacy Hoffman Glass | Nurse Practitioner | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2020-05-23 |
| 1548881378 | Deidra Easley | Pharmacist | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2020-05-04 |
| 1700405545 | Nouran Sabbagh | Student in an Organized Health Care Education/Training Program | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2020-04-12 |
| 1083233936 | Maria Soledad Rivera | Student in an Organized Health Care Education/Training Program | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2020-04-10 |
| 1356980072 | Melanie Lowe Hyte | Pharmacist | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2019-12-27 |
| 1083272181 | Amanda Lee Reed | Nurse Practitioner | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2019-06-03 |
| 1730647918 | Josiah M Matthew Yance | Registered Nurse | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2019-03-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275153892 | Sayyeda Ann Uz Zahra | Student in an Organized Health Care Education/Training Program | 2055 East South Blvd. Suite 202, Uab Montgomery, Montgomery, AL 36116 | 2020-04-23 |
| 1861958241 | Tameka Lene' Myles | Nurse Practitioner | 2905 East South Boulevard, Montgomery, AL 36116 | 2019-02-11 |
| 1750869814 | Nina Yvette Massey | Family Medicine | Baptist South Uab Multi Specialty Clinic, 2119 E. South Blvd, Montgomery, AL 36116 | 2018-08-01 |
| 1336635697 | Briana Lynn Adair | Speech-Language Pathologist | 2185 Normandie Rd., Montgomery, AL 36116 | 2018-07-10 |
| 1790201770 | Rinka Ravi Pahwani | Student in an Organized Health Care Education/Training Program | 4371 Narrow Lane Road, Suite 100, Montgomery, AL 36116 | 2017-08-21 |
| 1982052015 | Kevin J Jones | Pharmacist | 4385 Narrow Lane Rd, Montgomery, AL 36116 | 2016-05-31 |
| 1891153284 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 8035 Vaughn Road, Montgomery, AL 36116 | 2016-02-01 |
| 1871917583 | E Dental | Dentist | 6956 Vaughn Rd, Montgomery, AL 36116 | 2014-02-17 |
| 1033545199 | Jennings Professional Services LLC | Home Health | 2921 Martin Lane, Montgomery, AL 36116 | 2013-09-20 |
| 1750721973 | Joseph Alan Taylor | Counselor | 8104 Seaton Place, Montgomery, AL 36116 | 2013-07-02 |
| Find all providers in zip 36116 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861925448 | Haywood Smith II | Anesthesiologist Assistant | 6801 Crystal Hill Ln, Birmingham, AL 35212-1907 | 2017-04-10 |
| 1932578069 | Jeremy Bass | Anesthesiologist Assistant | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2015-09-18 |
| 1346618493 | Jerome Henley | Anesthesiologist Assistant | 721 Madison St Se, Huntsville, AL 35801-4408 | 2015-09-07 |
| 1932509007 | Kerry Coomer | Anesthesiologist Assistant | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2014-08-26 |
| 1821379488 | Michael R Pulfer | Anesthesiologist Assistant | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2011-09-08 |
| 1578795282 | Emily P Carter | Anesthesiologist Assistant | 1 Hospital Dr Sw, Huntsville, AL 35801-6455 | 2009-08-13 |
| 1356515449 | Escambia County Alabama Community Hospitals, Inc | Anesthesiologist Assistant | 401 Medical Park Dr, Atmore, AL 36502-3006 | 2008-04-18 |
| 1063605574 | Simon M Saliba | Anesthesiologist Assistant | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2007-08-20 |
| 1164487369 | Mark Isaac Copeland | Anesthesiologist Assistant | 460 Lanier Rd, Madison, AL 35758-1866 | 2006-04-19 |
| 1932164555 | Michael Hamilton Fleming | Anesthesiologist Assistant | 460 Lanier Rd, Madison, AL 35758-1866 | 2006-04-18 |
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| City | MONTGOMERY |
| Zip Code | 36116 |
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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.