DEBORAH WILLIS (NPI# 1508833286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508833286 |
| Entity Type | Individual |
| Full Name | DEBORAH WILLIS |
| Credential | M.D. |
| Practice Address |
5261 Carrollton Pike Ste B Woodlawn VA 24381-3030 |
| Practice Telephone | 2762388876 |
| Practice Fax Number | 2762388886 |
| Mailing Telephone | 2762388876 |
| Mailing Fax Number | 2762388886 |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2014-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 19080 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 01955299 | 05 | |
| GROUP ORGANIZATION PTAN | C10361 | 01 | |
| TAX ID | 26-1083931 | 01 | |
| GROUP PTAN | DN2980 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043572605 | Deborah Willis | Social Worker | 2125 Superior Ave E, Cleveland, OH 44114-2101 | 2012-06-11 |
| 1124259486 | Deborah A Willis | Social Worker | 3426 Canal St, New Orleans, LA 70119-6208 | 2009-08-05 |
| 1619106374 | Deborah Charlene Willis | Respiratory Therapist, Registered | 1387 Wall St, Waxhaw, NC 28173-7943 | 2009-07-02 |
| 1447349402 | Deborah E. Willis | Social Worker | 1061 Harmon Ave # 311, Commander, Usa-meddac-fsga, Attn:mcub-sws, Fort Stewart, GA 31314-5641 | 2006-10-11 |
| 1952718314 | Deborah Willis | Pharmacist | 701 W Marshall Ave, Longview, TX 75601-6218 | 2014-07-17 |
| 1801178769 | Deborah Lawan Willis | Speech-Language Pathologist | 8121 Rainbow Blvd Nw, Albuquerque, NM 87114-6192 | 2011-09-15 |
| 1497923429 | Deborah Willis | Counselor | 715 Lane St, Coal Grove, OH 45638 | 2008-02-12 |
| 1467639856 | Deborah Lynn Willis | Speech-Language Pathologist | 506 Holly Ave, Logan, WV 25601-3306 | 2008-01-28 |
| Street Address |
5261 CARROLLTON PIKE STE B |
| City | WOODLAWN |
| State | VA |
| Zip Code | 24381-3030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265932289 | Joseph Tyler Garapola | Chiropractor | 5261 Carrollton Pike Ste B, Woodlawn, VA 24381-3034 | 2018-02-16 |
| 1417309907 | Ashley Cupp | Nurse Practitioner | 5261 Carrollton Pike Ste B, Woodlawn, VA 24381-3034 | 2016-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437500717 | Sarah E Prol | Nurse Practitioner | 5261 Carrollton Pike Ste E, Woodlawn, VA 24381 | 2016-06-28 |
| 1831375146 | Family Preservation Services, Inc | Community/Behavioral Health | Rt. 1 Box 6b, Woodlawn, VA 24381 | 2008-01-16 |
| 1487976072 | Lifetime Eye Care C. Houston Teaters, Od, PC | Optometrist | 2851 Carrollton Pike, Suite A, Woodlawn, VA 24381 | 2010-02-23 |
| 1316271620 | Mark William Fox | Nurse Practitioner | 5261 Carrollton Pike, Suite C, Woodlawn, VA 24381 | 2009-09-21 |
| 1558852426 | Angela Carol Worrell | Occupational Therapist | 813 Joy Ranch Rd, Woodlawn, VA 24381-1305 | 2018-05-25 |
| 1710459912 | Functional Freedom Rehab., Inc. | Occupational Therapist | 813 Joy Ranch Rd, Woodlawn, VA 24381-1305 | 2018-12-28 |
| 1972502938 | Kathy L Clarke | Family Medicine | 5261 Carrollton Pike, Suite B, Woodlawn, VA 24381-3030 | 2005-07-20 |
| 1013347392 | Virginia Hull | Physician Assistant | 5261 Carrollton Pike, Suite B, Woodlawn, VA 24381-3030 | 2013-11-22 |
| 1184063315 | Jamie Wood Smith | Nurse Practitioner | 5261 Carrollton Pike, Suite B, Woodlawn, VA 24381-3030 | 2013-06-20 |
| 1952648123 | Lisa Dameron | Registered Nurse | 5261 Carrollton Pike, Suite B, Woodlawn, VA 24381-3030 | 2013-01-08 |
| Find all providers in zip 24381 | ||||
| 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 |
|---|---|---|---|---|
| 1164780102 | Elizabeth Ashley Shaw | Internal Medicine | 5261 Carrollton Pike Ste F, Woodlawn, VA 24381-3034 | 2012-04-27 |
| 1306878756 | Jeffrey Scott Garland | Internal Medicine | 5261 Carrollton Pike, Suite B, Woodlawn, VA 24381-3030 | 2006-07-07 |
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|---|---|---|---|---|
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| 1376155648 | Mosaic Md, Pllc | Internal Medicine | 22365 Broderick Dr Ste 330, Sterling, VA 20166-9361 | 2020-08-18 |
| 1164030458 | Premier Health Consultants of Northern Virginia Inc | Internal Medicine | 1860 Town Center Dr Ste 260, Reston, VA 20190-5899 | 2020-07-22 |
| 1679199194 | Abyssinia Medical Center | Internal Medicine | 8200 Greensboro Dr Ste 910, Mc Lean, VA 22102-4931 | 2020-06-20 |
| 1902422587 | Naila T Rahman | Internal Medicine | 5416 3rd St S, Arlington, VA 22204-1114 | 2020-06-19 |
| Find all providers with the same taxonomy | ||||
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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.