BRIAN E WILLMON (NPI# 1336118645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336118645 |
| Entity Type | Individual |
| Full Name | BRIAN E WILLMON |
| Credential | MD |
| Practice Address |
2000 W 21st St Ste W-8 Clovis NM 88101 |
| Mailing Address |
2200 W 21st St Clovis NM 88101-2011 |
| Practice Telephone | 5057634479 |
| Practice Fax Number | 5057636007 |
| Mailing Telephone | 5757607134 |
| Mailing Fax Number | 5757696464 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2009-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 86358 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 37572 | 05 |
| Street Address |
2000 W 21ST ST STE W-8 |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982601498 | Debra L Cyphert | Nurse Practitioner | 2000 W 21st St, Suite E3, Clovis, NM 88101-4087 | 2005-06-30 |
| 1093261455 | Eastern New Mexico Endodontics, PC | Clinic/Center | 2000 W 21st St, Suite L1, Clovis, NM 88101-4087 | 2016-08-26 |
| 1184011389 | A Romero Enterprises L.L.C. | Clinic/Center | 2000 W 21st St, Suite E3, Clovis, NM 88101-4087 | 2015-04-25 |
| 1396131611 | Annette Ternes | Registered Nurse | 2000 W 21st St, Suite E3, Clovis, NM 88101-4087 | 2015-04-14 |
| 1821492638 | Melissa Ashley Sprinkle | Nurse Practitioner | 2000 W 21st St, Suite A-1, Clovis, NM 88101-4087 | 2014-10-22 |
| 1952732125 | Nicole T. Musshorn | Advanced Practice Midwife | 2000 W 21st St, Ste A-1, Clovis, NM 88101-4087 | 2013-12-12 |
| 1316228265 | Larissa A Juberg | Advanced Practice Midwife | 2000 W 21st St, Ste A-1, Clovis, NM 88101-4087 | 2011-09-06 |
| 1821272394 | Sarah Jo Welch | Dentist | 2000 W 21st St, Suite L1, Clovis, NM 88101-4087 | 2007-12-20 |
| 1891825162 | Jacob Haskell Moberly | Dentist | 2000 W 21st St, Ste L1, Clovis, NM 88101-4087 | 2007-03-06 |
| 1538209994 | Mahamadu Fuseini | Internal Medicine | 2000 W 21st St, Clovis, NM 88101-4087 | 2007-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| Find all providers in zip 88101 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417388315 | Jai-joon Oh | Internal Medicine | 3236 E Via Monte Verdi Ave, Clovis, CA 93619-8387 | 2013-12-03 |
| 1093059925 | Ayyappa Mysore Rangaraju | Internal Medicine | 2421 W 21st St Ste B, Clovis, NM 88101-2006 | 2012-11-15 |
| 1285914531 | Balwinder Singh Kang | Internal Medicine | 2421 W 21st St Ste A, Clovis, NM 88101 | 2011-08-18 |
| 1881879617 | Hongwei Chen | Internal Medicine | 1700 Glen Dunbar Ln, Clovis, CA 93619-2868 | 2007-12-28 |
| 1760518245 | Mark V Godiksen | Internal Medicine | 688 Medical Center Dr E, Suite 106, Clovis, CA 93611-6807 | 2007-02-26 |
| 1952315848 | George C Molina | Internal Medicine | 685 Medical Center Dr W Ste 102, Clovis, CA 93611-6804 | 2006-07-28 |
| 1710902523 | Ani A Ketabgian | Internal Medicine | 221 W. Fir Avenue, Suite 101, Clovis, CA 93611 | 2006-07-13 |
| 1417906835 | Muhammad Mansoor Alam | Internal Medicine | 729 N. Medical Center Dr West, #221, Clovis, CA 93611 | 2006-05-10 |
| 1427049196 | Dhirendra Lamba | Internal Medicine | 1521 West 13th Street, Clovis, NM 88101 | 2005-11-02 |
| 1962496307 | Tobore Godwin Kokoricha | Internal Medicine | 2001 W 21st St, Clovis, NM 88101-4086 | 2005-08-31 |
| Find all providers in CLOVIS | ||||
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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.