DR. MELISSA SUE JAY WILLIS (NPI# 1386902682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386902682 |
| Entity Type | Individual |
| Full Name | DR. MELISSA SUE JAY WILLIS |
| Other Name | MELISSA SUE JAY |
| Practice Address |
200 Hawkins Dr 40020 Pfp Dermatology Iowa City IA 52242-1009 |
| Practice Telephone | 3193561694 |
| Practice Fax Number | 3193560349 |
| Mailing Telephone | 3193561694 |
| Mailing Fax Number | 3193560349 |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2013-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | R9424 | IA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952944043 | Melissa Willis | Home Health | 418 Deeds Ave, Dayton, OH 45404-1722 | 2019-10-22 |
| 1720212988 | Melissa Antoinette Willis | Social Worker | 800 Ingraham St Nw, Washington, DC 20011-2904 | 2009-05-04 |
| 1932352689 | Melissa Marie Willis | Physical Therapist | 309 Ruhle Rd S, Ballston Lake, NY 12019-1031 | 2008-10-28 |
| 1437791134 | Melissa Margaret Willis | Nurse Practitioner | 1 Trillium Way, Corbin, KY 40701-8727 | 2019-10-14 |
| 1598000671 | Melissa L Willis | Occupational Therapist | 4500 W Newberry Rd, Gainesville, FL 32607-2245 | 2012-11-30 |
| 1093965162 | Melissa Ann Willis | Counselor | 2400 S 48th St, Springdale, AR 72762-6683 | 2008-09-25 |
| 1528132982 | Melissa A. Willis | Physical Therapist | 1200 Brooks Ln, Suite G-30, Clairton, PA 15025-3747 | 2006-11-20 |
| 1447333000 | Melissa J Willis | Physical Therapist | 2819 Midway Rd Se Ste 114, Bolivia, NC 28422 | 2006-10-24 |
| 1962585471 | Melissa Ann Willis | Pharmacist | 8264 W State Route 41, Covington, OH 45318-1248 | 2006-10-21 |
| 1629021357 | Melissa Mae Willis | Nurse Practitioner | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 | 2006-05-17 |
| Street Address |
200 HAWKINS DR 40020 PFP DERMATOLOGY |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52242-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425963 | Matthew T Spragg | Emergency Medicine | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-05-24 |
| 1205437951 | Jennifer Renee Manternach | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-11-07 |
| 1144821794 | Jannet S Eastman | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-11-02 |
| 1043810245 | Abbey Lorraine Foglesong | Dietitian, Registered | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-10-27 |
| 1972101533 | Lindy Pelzer | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-10-15 |
| 1124626437 | Georgianne Younger | Genetic Counselor, MS | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-10-09 |
| 1114534237 | Bharatendu Chandra | Medical Genetics | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-09-24 |
| 1023625142 | Moon Ley Tung | Medical Genetics | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-09-24 |
| 1225645187 | Sinan Akay | Radiology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-09-24 |
| 1376158170 | Aygun Asgarli | Psychiatry & Neurology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-09-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033738679 | Shannon Louise Miers | Physical Therapist | Ui Sports Medicine (iosmr), 2701 Prairie Meadow Drive, Iowa City, IA 52242 | 2020-04-14 |
| 1821624230 | Victoria Troesch | Student in an Organized Health Care Education/Training Program | 375 Newton Rd, Iowa City, IA 52242 | 2020-03-17 |
| 1891338539 | Kira Ann Hennes Blum | Dietitian, Registered | 930 Evashevski Dr., Jacobson Building, Iowa City, IA 52242 | 2019-10-25 |
| 1407330483 | Kristin L Heider | Psychologist | 616 E Bloomington Street, Iowa City, IA 52242 | 2018-09-17 |
| 1447738398 | Allison Kral | Dietitian, Registered | 200 Hawkins Dr. W146 Gh, Iowa City, IA 52242 | 2018-08-02 |
| 1528544780 | Abigail Lynne Schiltz | Physician Assistant | 200 Hawkins Dr 01290a Pfp, Iowa City, IA 52242 | 2018-07-11 |
| 1710474259 | Bashar H. H. Abuqayas | Hospitalist | 200 Hawkins Dr, Se 636 Gh, Uihc-internal Medicine, Iowa City, IA 52242 | 2018-04-19 |
| 1023547395 | Tyler Quist | Internal Medicine | 200 Hawkins Dr Dept of Ophthalmology, Iowa City, IA 52242 | 2017-06-08 |
| 1972962371 | Angeleah Korin Whitlatch | Social Worker | 100 Hawking Drive, Iowa City, IA 52242 | 2016-02-15 |
| 1649667734 | Jennie Sertterh | Specialist/Technologist | 1 Elliot Drive, S181 Carver Hawkeye Arena, Iowa City, IA 52242 | 2015-04-16 |
| Find all providers in zip 52242 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962480970 | Susan Dale Wall | Dermatology | 269 N 1st Ave, Ste 100, Iowa City, IA 52245 | 2006-01-09 |
| 1659833622 | Matthew Dacunha | Dermatology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2019-04-01 |
| 1629537576 | Jordan Brady Evans | Dermatology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2019-03-19 |
| 1811480254 | Taylor Tabatabai | Dermatology | 200 Hawkins Dr, Iowa City, IA 52242 | 2018-06-11 |
| 1851882716 | Ashley Elizabeth Mcguinness | Dermatology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2018-05-25 |
| 1467957233 | Sabrina Sisto Alessi Cesar | Dermatology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2018-03-26 |
| 1649775461 | Alexander Reid | Dermatology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2018-03-25 |
| 1033647177 | Lainee Goettsche | Dermatology | 200 Hawkins Drive, Department of Dermatology, Iowa City, IA 52242 | 2017-06-02 |
| 1316474976 | Michael Thomas Ginnetti | Dermatology | 200 Hawkins Dr, Iowa City, IA 52242 | 2017-05-15 |
| 1730539404 | Jessica Harms | Dermatology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2016-06-14 |
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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.