WILLIAM WYATT WILLIS (NPI# 1972520567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972520567 |
| Entity Type | Individual |
| Full Name | WILLIAM WYATT WILLIS |
| Other Name | WILLIAM WYATT WILLIS |
| Credential | DO |
| Practice Address |
126 Trivette Dr Suite 102 Pikeville KY 41501-1275 |
| Practice Telephone | 6064322202 |
| Practice Fax Number | 6064322429 |
| Mailing Telephone | 6064322202 |
| Mailing Fax Number | 6064322429 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2010-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 02719 | KY | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 1592 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 6403711200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063539351 | William E Willis Jr. | Dentist | 108 Babb Drive, Lebanon, TN 37087 | 2007-03-23 |
| 1528150299 | William Lee Willis | Dentist | 2510 Nw Kline St, Roseburg, OR 97470 | 2006-09-29 |
| 1033179478 | William Allen Willis Jr. | Psychiatry & Neurology | 2850 Village Dr, Suite 103, Fayetteville, NC 28304-3864 | 2006-03-27 |
| 1003415324 | William Philip Willis | Chiropractor | 1413 Kingsley Ave, Orange Park, FL 32073-4527 | 2020-10-19 |
| 1134695588 | William Christopher Willis Jr. | Social Worker | 1419 Madison Park Dr, Glen Burnie, MD 21061-5613 | 2018-10-23 |
| 1912457060 | William Willis | Counselor | 111 Lamon St, Suite 103, Fayetteville, NC 28301-4901 | 2016-10-12 |
| 1073947313 | William Paul Willis | Hearing Instrument Specialist | 11800 Se 82nd Ave, Happy Valley, OR 97086-7711 | 2013-08-22 |
| 1851536692 | William R Willis | Physical Therapist | 20 School St, Bradford, PA 16701-1257 | 2008-12-09 |
| 1376572990 | William N Willis | Chiropractor | 2829 Dallas St Nw, Kennesaw, GA 30144-2704 | 2006-07-03 |
| 1205875846 | William A Willis | General Practice | 104 Wall St, Poteau, OK 74953 | 2006-06-06 |
| Street Address |
126 TRIVETTE DR SUITE 102 |
| City | PIKEVILLE |
| State | KY |
| Zip Code | 41501-1275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407844566 | Mary Lyn T Lu | Surgery | 126 Trivette Dr, Suite 201, Pikeville, KY 41501-1275 | 2005-10-12 |
| 1982879888 | Eastern Ky Center for Plastic, Reconstructive & Cosmetic Surgery | Clinic/Center | 126 Trivette Dr, Suite 201, Pikeville, KY 41501-1275 | 2008-04-23 |
| 1194882605 | William Everett Collins | Dentist | 126 Trivette Dr, Suite 303, Pikeville, KY 41501-1275 | 2007-01-03 |
| 1174626246 | Thomas Drug | Durable Medical Equipment & Medical Supplies | 126 Trivette Dr, Ste 102a, Pikeville, KY 41501-1275 | 2006-09-06 |
| 1881706240 | Atley Dale Adkins | Internal Medicine | 126 Trivette Dr, Suite 102, Pikeville, KY 41501-1275 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720634 | Lauren Ann Thacker | Nurse Practitioner | 648 Stonehenge Drive, Pikeville, KY 41501 | 2020-11-03 |
| 1659933406 | Wesley Tyler Rowe | Pharmacist | 553 Hambley Boulevard, Suite 6, Pikeville, KY 41501 | 2019-07-02 |
| 1275096489 | Eric Taejun Kim | Student in an Organized Health Care Education/Training Program | 184 South Mayo Trail, Pikeville, KY 41501 | 2019-04-13 |
| 1245755206 | Paula Renee Belcher | Nurse Practitioner | 5724 E Shelbiana Road, Pikeville, KY 41501 | 2017-08-10 |
| 1174044390 | Jessie C Deffendall | Dentist | 220 Cassidy Blvd, Pikeville, KY 41501 | 2017-06-28 |
| 1942667456 | Crossroads Addiction Recovery Effort, LLC | Family Medicine | 484 Tollage Crk, Pikeville, KY 41501 | 2016-01-28 |
| 1265836183 | Rebecca Leann Roberts | Pharmacist | 259 Bear Rd, Pikeville, KY 41501 | 2014-10-21 |
| 1306253190 | Ginger Webb Aprn | Clinic/Center | 153 Weddington Branch Rd., Pikeville, KY 41501 | 2014-07-14 |
| 1710323894 | Bhg Xxv, LLC | Case Management | 368 South Mayo Trail, Pikeville, KY 41501 | 2013-05-16 |
| 1740624220 | Sunrise Children's Services, Inc. | Foster Care Agency | 123 Weddington Branch Road, Pikeville, KY 41501 | 2013-04-26 |
| Find all providers in zip 41501 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679197529 | Kentucky Mountain Interventional and Infusion Therapies, LLC. | Family Medicine | 101 Hibbard St Ste 200, Pikeville, KY 41501-1788 | 2020-06-05 |
| 1124596341 | Bluegrass Family Walk-in Clinic LLC | Family Medicine | 140 Adams Ln Ste 600-700, Pikeville, KY 41501-3087 | 2018-11-06 |
| 1669736377 | Jahnave Gudaru | Family Medicine | Dba: Pmc Primary Care Center, 911 Bypass Road Building 100, Pikeville, KY 41501-1689 | 2012-06-27 |
| 1083935019 | Kevin Brandt Johnson, Psc | Family Medicine | 140 Adams Lane, Suite 600, Pikeville, KY 41501-1689 | 2010-06-14 |
| 1770754293 | Thad R Manning D.o., Psc | Family Medicine | 9613 Millard Hwy, Pikeville, KY 41501-8162 | 2008-03-13 |
| 1346419926 | Kentucky Mountain Health, LLC | Family Medicine | 101 Hibbard St Ste 100, Pikeville, KY 41501-1788 | 2008-02-27 |
| 1598893737 | Best Practice Family Health, Pllc | Family Medicine | 9 Flora St, Pikeville, KY 41501-3221 | 2007-03-01 |
| 1093860116 | Ronnie Christopher Parker | Family Medicine | Meta Medical Center, 8857 Meta Hwy Suite 2, Pikeville, KY 41501 | 2007-01-25 |
| 1568513307 | Daniel H Stamper Jr. | Family Medicine | 551 Hambley Blvd, Pikeville, KY 41501-3798 | 2007-01-16 |
| 1093889321 | Alma S James | Family Medicine | 344 Church St, Pikeville, TN 37367-5643 | 2006-11-20 |
| Find all providers in PIKEVILLE | ||||
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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.