Roger C Willis (NPI# 1477501815, PAC ID# 1759311483) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1477501815 |
| PAC ID by PECOS | 1759311483 |
| Professional Enrollment ID | I20060712000344 |
| Full Name | Roger C Willis |
| Address |
600 Miluk Dr Coos Bay OR 97420-7728 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380090 | BAY AREA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1900 Woodland Dr, Coos Bay, OR 97420-2045 | 5412675151 | NORTH BEND MEDICAL CENTER INC |
| 600 Miluk Dr, Coos Bay, OR 97420-7728 |
| Street Address |
600 MILUK DR |
| City | COOS BAY |
| State | OR |
| Zip | 97420-7728 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shu-wen Cheng | Nurse Practitioner | Waterfall Clinic Incorporated | 826 S 11th St, Coos Bay, OR 97420-1328 |
| Denise J Gontiz | Nurse Practitioner | Waterfall Clinic Incorporated | 826 S 11th St, Coos Bay, OR 97420-1328 |
| Debra Sue Guzman | Nurse Practitioner | Waterfall Clinic Incorporated | 826 S 11th St, Coos Bay, OR 97420-1328 |
| Brendan Gordon Tennefoss | Nurse Practitioner | Waterfall Clinic Incorporated | 826 S 11th St, Coos Bay, OR 97420-1328 |
| Emily E Scotland | Nurse Practitioner | Waterfall Clinic Incorporated | 826 S 11th St, Coos Bay, OR 97420-1328 |
| Abby L Stauss | Chiropractic | Dianna Loudenbeck Dc PC | 576 Donnelly Ave, Coos Bay, OR 97420-1555 |
| Dianna L Loudenbeck | Chiropractic | Dianna Loudenbeck Dc PC | 576 Donnelly Ave, Coos Bay, OR 97420-1555 |
| Edward L Lanway | Chiropractic | 632 Anderson Ave, Coos Bay, OR 97420-1632 | |
| Patricia B Gates | Optometry | 986 Central Ave, Coos Bay, OR 97420-1736 | |
| Mirian W Groenendaal | Physical Therapy | Starting Line Physical Therapy | 1957 Thompson Rd, Suite A, Coos Bay, OR 97420-2040 |
| Find all physicians in zip 97420 | |||
| City | COOS BAY |
| Zip Code | 97420 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | COOS BAY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Roger C 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.