STEPHEN I WILLIS (NPI# 1255581658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255581658 |
| Entity Type | Individual |
| Full Name | STEPHEN I WILLIS |
| Credential | PA-C |
| Practice Address |
400 E 5th Ave Spokane WA 99202-1334 |
| Practice Telephone | 5098382531 |
| Mailing Telephone | 5098382531 |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2016-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA60051682 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8529349 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134581986 | Stephen Willis | Psychologist | 4460 Redwood Hwy # 16-320, San Rafael, CA 94903-1951 | 2016-03-22 |
| 1356648836 | Stephen Willis | Pharmacist | 592 Lancaster Hwy, Chester, SC 29706-1658 | 2011-02-18 |
| 1932221348 | Stephen Dean Willis | Pharmacist | 402 E Main St, Central City, IA 52214-9454 | 2007-04-04 |
| 1629139076 | Stephen Willis | Internal Medicine | 1100 Wescott Dr, Suite 201, Flemington, NJ 08822-4673 | 2006-12-12 |
| 1194737932 | Stephen Willis | Social Worker | 1061 Harmon Ave, Ste 1d03, Fort Stewart, GA 31314-5641 | 2006-08-12 |
| 1598748246 | Stephen E Willis | Family Medicine | 600 Moye Blvd, Family Practice Center, Greenville, NC 27834-4300 | 2005-11-28 |
| Street Address |
400 E 5TH AVE |
| City | SPOKANE |
| State | WA |
| Zip Code | 99202-1334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366445702 | Joseleeto Chua | Psychiatry & Neurology | 400 E 5th Ave, Spokane, WA 99202-1334 | 2005-05-31 |
| 1497389910 | Rachel Coleman | Social Worker | 400 E 5th Ave, Spokane, WA 99202-1334 | 2020-02-24 |
| 1033751078 | Robin Marie Beard | Nurse Practitioner | 400 E 5th Ave, Spokane, WA 99202-1334 | 2019-10-10 |
| 1073165742 | Lori Ann Price | Nurse Practitioner | 400 E 5th Ave, Spokane, WA 99202-1334 | 2019-07-12 |
| 1730687161 | Multicare Health System | Chiropractor | 400 E 5th Ave, Spokane, WA 99202-1334 | 2018-01-31 |
| 1629576061 | Multicare Health System | Hearing Aid Equipment | 400 E 5th Ave, Spokane, WA 99202-1334 | 2018-01-31 |
| 1932607553 | Multicare Health System | Durable Medical Equipment & Medical Supplies | 400 E 5th Ave, Spokane, WA 99202-1334 | 2018-01-29 |
| 1982133286 | Drake Douglas Hinkins | Physician Assistant | 400 E 5th Ave, Spokane, WA 99202-1334 | 2017-06-08 |
| 1740720093 | Jennifer Matthews | Nurse Practitioner | 400 E 5th Ave, Spokane, WA 99202-1334 | 2017-03-06 |
| 1972043784 | Lisa Shawen | Nurse Practitioner | 400 E 5th Ave, Spokane, WA 99202-1334 | 2017-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669099552 | Morgan Physiotherapy, Pllc | Physical Therapist | 716 South Arthur Street, Spokane, WA 99202 | 2020-06-26 |
| 1659926863 | Hiliary Beatty | Marriage & Family Therapist | 3101 E Boone Avenue, Spokane, WA 99202 | 2019-08-05 |
| 1992359301 | Jennifer Pelzel | Pharmacist | Pbs, 205 E Spokane Falls Blvd, Spokane, WA 99202 | 2019-07-25 |
| 1750858171 | Elyse M Tullar | Counselor | 3101 E Boone Ave, Spokane, WA 99202 | 2018-10-24 |
| 1952830333 | Kaleb E Walker | Case Manager/Care Coordinator | 1002 N Superior, Spokane, WA 99202 | 2017-06-08 |
| 1659823987 | Laura Lenoue | Chiropractor | 301 E Sharp, Lenoue Integrative Medicine, Spokane, WA 99202 | 2016-11-03 |
| 1376095141 | Clinton George Ralph | Counselor | 624 S Cowley, Spokane, WA 99202 | 2016-10-27 |
| 1144772245 | Megan Nicole Korst | Counselor | 104 S. Freya, Red Flag Bldg, Suite 101b, Spokane, WA 99202 | 2016-10-25 |
| 1043766652 | Moffitt Children's Dentistry | Dentist | 520 S Cowley St Ste 101, Spokane, WA 99202 | 2016-09-01 |
| 1881147296 | Natalie Stine | Dietitian, Registered | 203 E Spague Avenue, Spokane, WA 99202 | 2016-08-02 |
| Find all providers in zip 99202 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104273648 | Grant Bursell | Physician Assistant | 5316 E Sumac Ln, Spokane, WA 99223-5090 | 2016-05-14 |
| 1881093904 | Jacob Gott | Physician Assistant | 122 W 7th Ave Ste 420, Spokane, WA 99204-2330 | 2014-08-14 |
| 1235215856 | Kurt D Fullmer | Physician Assistant | 406 E Rowan Ave, Suite200, Spokane, WA 99207-1243 | 2006-10-27 |
| 1689782740 | Lori Tschetter | Physician Assistant | 42 E Rowan Ave Ste A, Spokane, WA 99207-1212 | 2006-08-29 |
| 1316973498 | Daniel Ray Keele | Physician Assistant | 4815nwassembly, Spokane, WA 99205 | 2006-06-23 |
| 1386606093 | Kathleen Elizabeth Moudy | Physician Assistant | 9911 N Nevada St, Spokane, WA 99218-1298 | 2006-04-06 |
| 1750359154 | Terri J Roark | Physician Assistant | 911 W 5th Avenue, Spokane, WA 99204 | 2006-03-10 |
| 1942289392 | Mara Lea Geffken | Physician Assistant | 605 E Holland, Suite 218, Spokane, WA 99218-1246 | 2006-01-13 |
| 1285611665 | Amy M Gregg | Physician Assistant | 105 W 8th, Spokane, WA 99204-2304 | 2005-12-28 |
| 1215913850 | Marc A. Hawkins | Physician Assistant | 310 N Riverpoint Blvd Health Science Bldg #280-j, University of Washington Medex Nw Pa Program, Spokane, WA 99202 | 2005-12-15 |
| Find all providers in SPOKANE | ||||
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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.