Donovan S. Willis (NPI# 1558460295, PAC ID# 0941259998) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1558460295 |
| PAC ID by PECOS | 0941259998 |
| Professional Enrollment ID | I20050208000777 |
| Full Name | Donovan S. Willis |
| Address |
3002 Rogers Ave Fort Smith AR 72901-4232 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 2004 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3002 Rogers Ave, Fort Smith, AR 72901-4232 | ||
| 1531 E 32nd St, Suite 6, Joplin, MO 64804-2970 | 4176279699 | ANESTHESIA ASSOCIATES OF JOPLIN LLC |
| 1400 E Downing St, Tahlequah, OK 74464-3324 | 9184560641 | NORTHEASTERN HEALTH SYSTEM |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_426_overall | Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU) | 98% | |
| MIPS_EC_426_overall | Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU) | 98% | |
| MIPS_EC_426_overall | Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU) | 98% |
| Street Address |
3002 ROGERS AVE |
| City | FORT SMITH |
| State | AR |
| Zip | 72901-4232 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen D Chiovoloni | Clinical Social Worker | 1320 N B St, Suite 100, Fort Smith, AR 72901-3210 | |
| Jerrica J Thomas | Physical Therapy | 318 N Greenwood Ave, Fort Smith, AR 72901-3454 | |
| Charles K Wright | Family Medicine | 1623 Rogers Ave, Fort Smith, AR 72901-3826 | |
| Ngoc Van Hoang | General Practice | 1623 Rogers Ave, Fort Smith, AR 72901-3826 | |
| Bryan Holland Clardy | Family Medicine | University of Arkansas for Medical Sciences | 1301 S E St, Fort Smith, AR 72901-3892 |
| John C Lane | Family Medicine | University of Arkansas for Medical Sciences | 1301 S E St, Fort Smith, AR 72901-3892 |
| Katherine A Irish Clardy | Family Medicine | University of Arkansas for Medical Sciences | 1301 S E St, Fort Smith, AR 72901-3892 |
| Elizmary C Cyril | Family Medicine | University of Arkansas for Medical Sciences | 1301 S E St, Fort Smith, AR 72901-3892 |
| Edward L Gills | Family Medicine | University of Arkansas for Medical Sciences | 1301 S E St, Fort Smith, AR 72901-3892 |
| Lawrence C Price | Internal Medicine | University of Arkansas for Medical Sciences | 1301 S E St, Fort Smith, AR 72901-3892 |
| Find all physicians in zip 72901 | |||
| City | FORT SMITH |
| Zip Code | 72901 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | FORT SMITH + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Donovan S. 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.