JASON WILLIS (NPI# 1679603153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679603153 |
| Entity Type | Individual |
| Full Name | JASON WILLIS |
| Credential | MD |
| Practice Address |
1101 12th Ave, Nw Mercy Ardmore Hospital Wound Care Center Ardmore OK 73401 |
| Mailing Address |
Po Box 848371 Boston MA 02284-8371 |
| Practice Telephone | 5802206290 |
| Mailing Telephone | 5809209000 |
| Mailing Fax Number | 5809209159 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2015-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 29655 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991059 | Jason Willis | Case Manager/Care Coordinator | 807 Lawn Ave, Sellersville, PA 18960-1594 | 2020-01-23 |
| 1265834402 | Jason Willis | Nurse Practitioner | 2200 Childrens Way, Nashville, TN 37232-0005 | 2014-09-18 |
| 1750700316 | Jason Willis | Internal Medicine | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2014-04-10 |
| 1437574084 | Jason Alexander Willis | Physician Assistant | 472 Rankin Dr, Marion, NC 28752-6568 | 2014-02-19 |
| 1689942054 | Jason Willis | Case Manager/Care Coordinator | 6701 Highway 67 Bldg 4, Benton, AR 72015-8909 | 2011-12-13 |
| 1205091410 | Jason J Willis | Podiatrist | 6260 Delaware St, Beaumont, TX 77706-7602 | 2008-07-28 |
| 1487857983 | Jason S. Willis | Pathology | 4770 Regent Blvd, Irving, TX 75063-2445 | 2007-06-11 |
| 1013948215 | Jason Willis | Physician Assistant | 522 W Newton St, Suite 100, Greensburg, PA 15601-2820 | 2006-07-05 |
| Street Address |
1101 12TH AVE, NW MERCY ARDMORE HOSPITAL WOUND CARE CENTER |
| City | ARDMORE |
| State | OK |
| Zip Code | 73401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391452 | Abbie Deeann Mclemore | Nurse Practitioner | 915 10th Ave, Ardmore, OK 73401 | 2019-11-25 |
| 1790349991 | Shirley Denise Brown | Licensed Psychiatric Technician | 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 | 2019-04-24 |
| 1427512359 | Billy Joe Oshields | Case Manager/Care Coordinator | 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 | 2019-01-24 |
| 1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
| 1679055016 | Teresa Marie Hernandez | Behavior Technician | 1219 K St. Nw, Ardmore, OK 73401 | 2018-09-01 |
| 1063991974 | Sawyer Rae Shamburger | Occupational Therapy Assistant | 208 North Praire St, Pilot Point, TX 73401 | 2018-08-10 |
| 1417473521 | Chelsye Bacon | Peer Specialist | 905 Holiday Drive, Ardmore, OK 73401 | 2017-08-21 |
| 1003279746 | Jeni Presley | Marriage & Family Therapist | Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 | 2016-03-31 |
| 1982080909 | Alison Hill | Pharmacist | 1111 N. Commerce, Ardmore, OK 73401 | 2015-07-31 |
| 1316346547 | Olivia Larae Carrell | Counselor | 15 Monroe Street Ne, Ardmore, OK 73401 | 2014-08-13 |
| Find all providers in zip 73401 | ||||
| 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 |
|---|---|---|---|---|
| 1578906657 | Mercy Hospital Ardmore, Inc | Internal Medicine | 1101 14th Ave Nw, Ardmore, OK 73401-1830 | 2013-04-09 |
| 1467780940 | Elyse Gail Seltzer | Internal Medicine | 128 Saint Georges Rd, Ardmore, PA 19003-2506 | 2009-11-23 |
| 1194053702 | Newman M Yeilding IIi | Internal Medicine | 129 Edgewood Rd, Ardmore, PA 19003-2507 | 2009-11-20 |
| 1306985882 | Bruce Stewart Gilmore | Internal Medicine | 1015 S Commerce St, Ardmore, OK 73401-5018 | 2007-02-05 |
| 1134161821 | Thomas A Papin | Internal Medicine | 20 12th Ave Nw, Ardmore, OK 73401-5722 | 2006-06-10 |
| 1861432940 | Steven Demetrius Saris | Internal Medicine | 130 Valley Rd, Ardmore, PA 19003-1511 | 2006-06-07 |
| 1215986559 | A. Wayne Troncelliti | Internal Medicine | 1522 Wynnewood Rd, Ardmore, PA 19003-2719 | 2006-05-05 |
| 1811951999 | Jeffery A Rother | Internal Medicine | 1221 G St Nw, Ardmore, OK 73401-1812 | 2006-04-14 |
| 1366404105 | Brian Michael Shockey | Internal Medicine | 2419 Chickasaw Blvd, Ardmore, OK 73401-1466 | 2006-04-05 |
| 1457331175 | Medical Arts Clinic of Ardmore Inc | Internal Medicine | 921 14th Ave Nw, Ardmore, OK 73401-1837 | 2006-01-19 |
| Find all providers in ARDMORE | ||||
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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.