Matthew M Willis (NPI# 1033770607, PAC ID# 0143555052) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1033770607 |
| PAC ID by PECOS | 0143555052 |
| Professional Enrollment ID | I20190715003463 |
| Full Name | Matthew M Willis |
| Organization Legal Name | CEDAR VALLEY MEDICAL SPECIALISTS PC |
| Address |
1825 Logan Ave Waterloo IA 50703-1916 |
| Phone Number | 3192353941 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 2019 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 1759291487 |
| Number of Group Practice Members | 102 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160110 | ALLEN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1825 Logan Ave, Waterloo, IA 50703-1916 | 3192353941 | CEDAR VALLEY MEDICAL SPECIALISTS PC |
| Organization Legal Name | CEDAR VALLEY MEDICAL SPECIALISTS PC |
| Physicians | 111 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan E Imoehl | Nurse Practitioner | Cedar Valley Medical Specialists PC | 164 W Dale St, Waterloo, IA 50703-1925 |
| Vishal Goyal | Cardiac Electrophysiology | Cedar Valley Medical Specialists PC | 419 E Donald St, Waterloo, IA 50703-1500 |
| Oz A Wolfensperger | Physical Therapy | Cedar Valley Medical Specialists PC | 7024 Nordic Dr, Suite 200, Cedar Falls, IA 50613-6309 |
| Staci Anne Boon | Optometry | Cedar Valley Medical Specialists PC | 909 E San Marnan Dr, Waterloo, IA 50702-5611 |
| Cari Lynn Graham | Physical Therapy | Cedar Valley Medical Specialists PC | 1731 W Ridgeway Ave, Suite 600, Waterloo, IA 50701-4595 |
| Kelli E Deserano | Nurse Practitioner | Cedar Valley Medical Specialists PC | 125 E Tower Park Dr, Waterloo, IA 50701-9330 |
| Thomas P Petrie | Ophthalmology | Cedar Valley Medical Specialists PC | 1409 W 1st St, Cedar Falls, IA 50613-2115 |
| Kerri M Vanee | Nurse Practitioner | Cedar Valley Medical Specialists PC | 2351 Hudson Rd, Cedar Falls, IA 50614-0065 |
| Gregory K Harter | Family Medicine | Cedar Valley Medical Specialists PC | 220 W Ridgeway Ave, Suite 106, Waterloo, IA 50701-4200 |
| Ivo Bekavac | Neurology | Cedar Valley Medical Specialists PC | 1243 4th St Sw, Waverly, IA 50677-4322 |
| Street Address |
1825 LOGAN AVE |
| City | WATERLOO |
| State | IA |
| Zip | 50703-1916 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurtis A Lucas | Family Medicine | Iowa Physicians Clinic Medical Foundation | 1825 Logan Ave, Waterloo, IA 50703-1999 |
| Amanda L Vervaecke | Nurse Practitioner | Allen Memorial Hospital Corporation | 1825 Logan Ave, Waterloo, IA 50703-1916 |
| Collin J Willhite | Certified Registered Nurse Anesthetist (crna) | Cedar Valley Medical Specialists PC | 1825 Logan Ave, Waterloo, IA 50703-1916 |
| Amy M Thurm | Nurse Practitioner | Allen Memorial Hospital Corporation | 1825 Logan Ave, Waterloo, IA 50703-1916 |
| Sue A Bruch | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 1825 Logan Ave, Waterloo, IA 50703-1999 |
| Charles N Heggen | Diagnostic Radiology | Allen Memorial Hospital Corporation | 1825 Logan Ave, Waterloo, IA 50703-1916 |
| Kristen M Grapp | Nurse Practitioner | Allen Memorial Hospital Corporation | 1825 Logan Ave, Waterloo, IA 50703-1916 |
| Cole H Asay | Certified Registered Nurse Anesthetist (crna) | Cedar Valley Medical Specialists PC | 1825 Logan Ave, Waterloo, IA 50703-1916 |
| James C Nesler | Anesthesiology | Cedar Valley Medical Specialists PC | 1825 Logan Ave, Waterloo, IA 50703-1916 |
| Elmuataz Ahmed | Internal Medicine | Iowa Physicians Clinic Medical Foundation | 1825 Logan Ave, Waterloo, IA 50703-1999 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily A Grarup | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 2140 Logan Ave, Suite C, Waterloo, IA 50703-1002 |
| Sapna N Patel | Family Medicine | Iowa Physicians Clinic Medical Foundation | 2140 Logan Ave, Suite C, Waterloo, IA 50703-1002 |
| Sherry Khurana | Family Medicine | Iowa Physicians Clinic Medical Foundation | 2160 Logan Ave, Waterloo, IA 50703-1006 |
| Cody Lafler | Occupational Therapy | Iowa Physicians Clinic Medical Foundation | 2160 Logan Ave, Waterloo, IA 50703-1006 |
| Alison J Jayme | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 2134 Logan Ave, Suite A, Waterloo, IA 50703-1022 |
| Katie C Wilcox | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 2134 Logan Ave, Suite A, Waterloo, IA 50703-1022 |
| Maggie M Austin | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 2134 Logan Ave, Suite A, Waterloo, IA 50703-1022 |
| Elizabeth R Batterson | Nurse Practitioner | Cedar Valley Medical Specialists PC | 419 E Donald St, Waterloo, IA 50703-1223 |
| Holly L Gaede | Nurse Practitioner | Allen Memorial Hospital Corporation | 233 Vold Dr, Waterloo, IA 50703-1256 |
| Jean Marie Hoy | Nurse Practitioner | Allen Memorial Hospital Corporation | 233 Vold Dr, Waterloo, IA 50703-1256 |
| Find all physicians in zip 50703 | |||
| City | WATERLOO |
| Zip Code | 50703 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | WATERLOO + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Matthew M Willis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.