JOSEPH WILLIS (NPI# 1275918328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275918328 |
| Entity Type | Individual |
| Full Name | JOSEPH WILLIS |
| Credential | LAT, ATC |
| Practice Address |
901 Macarthur Blvd Munster IN 46321-2901 |
| Mailing Address |
9740 Wildwood Cir Apt 1b Munster IN 46321-3980 |
| Practice Telephone | 2198361600 |
| Mailing Telephone | 2197186490 |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
36002400A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376676007 | Joseph Charles Willis | Chiropractor | 100 E Mcmurray Rd, Mcmurray, PA 15317-2962 | 2007-03-13 |
| 1184764003 | Joseph C Willis | Physical Therapist | 1893 S Eason Blvd, Tupelo, MS 38804-5953 | 2007-02-08 |
| 1619082252 | Joseph Dominic Willis | Nurse Practitioner | 10974 54th Ave N, St Petersburg, FL 33708-2943 | 2006-08-21 |
| 1710947841 | Joseph Isaiah Willis | Radiology | 20540 Via Tarara, Yorba Linda, CA 92887-3204 | 2006-03-24 |
| 1104347897 | Joseph Willis | Dentist | 1224 Se Washington Blvd, Bartlesville, OK 74006-4425 | 2017-07-03 |
| 1407113079 | Joseph Willis | Student in an Organized Health Care Education/Training Program | 4101 Henican Pl, Metairie, LA 70003-1311 | 2012-04-19 |
| 1023347531 | Joseph Gene Willis | Physical Therapist | 507 S Main St, Viroqua, WI 54665-2059 | 2009-12-11 |
| 1275765448 | Joseph Ray Willis | Chiropractor | 1501 Heritage Ln, Florence, SC 29505-3141 | 2009-08-20 |
| 1548435837 | Joseph Thomas Willis | Dentist | 4720 Airport Blvd, Mobile, AL 36608-3134 | 2008-04-28 |
| 1972773489 | Joseph Daniel Willis | Speech-Language Pathologist | 1000 Highway 33, Double Springs, AL 35553-4700 | 2008-03-11 |
| Street Address |
901 MACARTHUR BLVD |
| City | MUNSTER |
| State | IN |
| Zip Code | 46321-2901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740273077 | Matthew Fitzpatrick | Radiology | 901 Macarthur Blvd, Radiology Department, Munster, IN 46321-2901 | 2005-08-23 |
| 1033710561 | Jonathan Chua | Pharmacist | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2020-11-02 |
| 1649879842 | John Hurley Jr. | Nurse Anesthetist, Certified Registered | 901 Macarthur Blvd, Munster, IN 46321-2959 | 2020-10-20 |
| 1942812391 | Cathrine Roels | Pharmacist | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2020-08-18 |
| 1396355988 | Nicole Kaminsky | Pharmacist | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2020-08-07 |
| 1992314819 | Jennifer Biank | Registered Nurse | 901 Macarthur Blvd, Munster, IN 46321-2959 | 2020-07-27 |
| 1598374704 | Amber Nicole Hudson | Pharmacist | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2020-07-24 |
| 1700495942 | Alexa Catherine Klimek | Pharmacist | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2020-07-23 |
| 1437768611 | Hailey Corrinne Estes | Pharmacist | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2020-07-23 |
| 1154939007 | Betsy Abraham | Pharmacist | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2020-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154959179 | Munster Surgery Center LLC | Clinic/Center | 1950 45thstreet, Unit 101, Munster, IN 46321 | 2020-03-27 |
| 1467092668 | Barbara Armstrong-whitaker | Counselor | 8855 Columbia Ave, Munster, IN 46321 | 2020-01-15 |
| 1427537661 | Courtney Szydelko | Physical Therapist | 759 45th St Ste 202, Munster, IN 46321 | 2018-08-08 |
| 1407341787 | New Harvest Therapy Services, Inc. | Clinic/Center | 8124 Calumet Ave Ste B, Munster, IN 46321 | 2018-06-28 |
| 1043717945 | Region Eye Care LLC | Optometrist | 10413 Calumet Ave., Munster, IN 46321 | 2018-04-09 |
| 1003318122 | Jean M Nanos | Psychologist | 8124 Calumet Ave, Munster, IN 46321 | 2018-03-05 |
| 1841706330 | Avalon Marciniak | Speech-Language Pathologist | 1950 West 45th St., Munster, IN 46321 | 2017-12-19 |
| 1104330034 | Hinsdale Orthopaedic Associates, S.c. | Orthopaedic Surgery | 8141 S Calumet Ave, Unit 1, Munster, IN 46321 | 2017-11-30 |
| 1457871774 | Shannon Nicole Riley | Behavior Technician | 8113 Howard Ave., Munster, IN 46321 | 2017-06-27 |
| 1679017313 | Infomedica | Internal Medicine | 10010 Donald S Powers Dr, Munster, IN 46321 | 2016-12-15 |
| Find all providers in zip 46321 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659849461 | Catherine Louise Lebryk | Specialist/Technologist | 9042 Columbia Ave Ste B, Munster, IN 46321-2928 | 2018-11-09 |
| 1386134666 | Victoria Kalene Wilson | Specialist/Technologist | 801 Macarthur Blvd Ste 405, Munster, IN 46321-2919 | 2018-05-13 |
| 1730616574 | Michael John Doherty | Specialist/Technologist | 10133 Devonshire Ln, Munster, IN 46321-4376 | 2017-05-11 |
| 1033570833 | Samuel Toth | Specialist/Technologist | 1939 Rosewood Ct, Munster, IN 46321 | 2016-03-08 |
| 1548654106 | Kyle O'brien | Specialist/Technologist | 1148 Fran Lin Pkwy, Munster, IN 46321-3607 | 2015-03-22 |
| 1265821938 | Erica Applegate | Specialist/Technologist | 540 Cambridge Ct, Apt 2a, Munster, IN 46321-2456 | 2015-01-17 |
| 1134499270 | Diana Miller | Specialist/Technologist | 1950 45th Ave Ste 200, Munster, IN 46321-3958 | 2012-01-06 |
| 1922093418 | Michael Glenn Hornbuckle | Specialist/Technologist | 9711 Valparaiso Dr, Suite #1, Munster, IN 46321-2866 | 2005-09-12 |
| 1528626454 | Rachel Gene Marie Roths | Specialist/Technologist | 9042 Columbia Ave, Munster, IN 46321-2927 | 2019-06-05 |
| 1164993317 | Elaine Kate Lustgarten | Specialist/Technologist | 9042 Columbia Ave Ste B, Munster, IN 46321-2928 | 2018-12-16 |
| Find all providers in MUNSTER | ||||
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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.