WILLIS MEDICAL LLC (NPI# 1750401964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750401964 |
| Entity Type | Organization |
| Organization Name | WILLIS MEDICAL LLC |
| Practice Address |
600 Factory Outlet Dr Suite 12 Arcadia LA 71001-3057 |
| Practice Telephone | 3182634701 |
| Practice Fax Number | 3182634704 |
| Mailing Telephone | 3182634701 |
| Mailing Fax Number | 3182634704 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2011-05-09 |
| Authorized Official Name | MISS MELINDA WILLIS (OWNER) |
| Authorized Official Telephone | 3182634701 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD.018544 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1909921 | 05 | |
| LA | BLUE CROSS | 438135840C | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639445927 | Willis Medical LLC | Clinic/Center | 600 Factory Outlet Dr, Ste 12, Arcadia, LA 71001-3057 | 2012-03-30 |
| Street Address |
600 FACTORY OUTLET DR SUITE 12 |
| City | ARCADIA |
| State | LA |
| Zip Code | 71001-3057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639445927 | Willis Medical LLC | Clinic/Center | 600 Factory Outlet Dr, Ste 12, Arcadia, LA 71001-3057 | 2012-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841844313 | Donyetta Patrice Jackson | Case Manager/Care Coordinator | 2542 4th Street Apt 193, Arcadia, LA 71001 | 2019-08-01 |
| 1245753953 | Bettin D Collins | Counselor | 1921 N. Railroad Ave., Arcadia, LA 71001 | 2017-07-25 |
| 1093266629 | Infinity Family Health Clinic, LLC | Nurse Practitioner | 2034 Myrtle St., Arcadia, LA 71001 | 2016-10-19 |
| 1356701585 | Cussandra Felton-johnson | Case Manager/Care Coordinator | 1217 Crawford St, Arcadia, LA 71001 | 2016-03-01 |
| 1326410614 | Elisha Collinsworth | Case Manager/Care Coordinator | 1921 N Railroad Ave, Arcadia, LA 71001 | 2015-10-26 |
| 1427319896 | Jennifer Paige Doyal | Nurse Practitioner | 1175 Pine Street, Suite 100, Arcadia, LA 71001 | 2012-06-01 |
| 1851500953 | Bienville Parish School Board | Local Education Agency (LEA) | 1956 First Street, Arcadia, LA 71001 | 2007-05-22 |
| 1154469021 | Arcadia Nursing and Rehabilitation Center, LLC | Clinic/Center | 660 Factory Outlet Mall Drive, Arcadia, LA 71001 | 2007-02-02 |
| 1326053901 | Chris Cole Pharmacy Inc | Pharmacy | 1887 First Street, Arcadia, LA 71001 | 2006-07-30 |
| 1457383499 | Arcadia Family Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1311 Hazel Street, Arcadia, LA 71001 | 2006-07-07 |
| Find all providers in zip 71001 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790182988 | Arcadia Pediatrics Plc | Pediatrics | 1014 N Mills Ave, Arcadia, FL 34266-8811 | 2014-12-03 |
| 1487097218 | Jayalakshmamma Bangaru | Pediatrics | 15 South Carol Pine Lane, Arcadia, CA 91007 | 2013-04-11 |
| 1407102031 | Agnes Chiang Jee | Pediatrics | 301 W Huntington Dr Ste 320, Arcadia, CA 91007-1500 | 2012-08-01 |
| 1659646636 | Charles E. Imbus, Md, Inc | Pediatrics | 665 W Naomi Ave Ste 202, Arcadia, CA 91007-7563 | 2012-03-09 |
| 1306027834 | Geraldine Uy Chen | Pediatrics | 520 Workman Ave, Arcadia, CA 91007-8455 | 2007-11-27 |
| 1831388982 | Fawn G Harrison | Pediatrics | 900 N Robert Ave, Arcadia, FL 34266-8712 | 2007-10-15 |
| 1588712673 | Letrinh Hoang | Pediatrics | 51 N. 5th Ave., Suite 201, Arcadia, CA 91006-3739 | 2007-01-08 |
| 1427113588 | Melinda Willis | Pediatrics | 600 Factory Outlet Drive, Ste 12, Arcadia, LA 71001-3057 | 2006-12-27 |
| 1043305634 | Ana L Hernandez | Pediatrics | 250 N Brevard Ave Ste 2, Arcadia, FL 34266 | 2006-10-03 |
| 1508963398 | Loanne B. Tran, Md Inc. | Pediatrics | 624 W Duarte Rd Ste 205, Arcadia, CA 91007-9260 | 2006-09-20 |
| Find all providers in ARCADIA | ||||
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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.