Devin R Willis (NPI# 1295175057, PAC ID# 7012143449) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SPORTS MEDICINE.
| Nation Provider ID (NPI) | 1295175057 |
| PAC ID by PECOS | 7012143449 |
| Professional Enrollment ID | I20170913002736 |
| Full Name | Devin R Willis |
| Organization Legal Name | MERCY CLINIC EAST COMMUNITIES |
| Address |
15945 Clayton Rd Suite 210 Ballwin MO 63011-2491 |
| Phone Number | 3148931360 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | SPORTS MEDICINE |
| Secondary Specialties | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 7214827922 |
| Number of Group Practice Members | 363 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260020 | MERCY HOSPITAL ST LOUIS |
| Address | Phone | Organization |
|---|---|---|
| 15945 Clayton Rd, Suite 210, Ballwin, MO 63011-2491 | 3148931360 | MERCY CLINIC EAST COMMUNITIES |
| Organization Legal Name | MERCY CLINIC EAST COMMUNITIES |
| Physicians | 383 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca Winchester | Family Medicine | Mercy Clinic East Communities | 2223 Technology Dr, Suite 35, O Fallon, MO 63368-7272 |
| Amy Marie Saak | Nurse Practitioner | Mercy Clinic East Communities | 802 Mel Carnahan Dr, Suite 215, Hillsboro, MO 63050-2427 |
| Katherine C Schoo | Nurse Practitioner | Mercy Clinic East Communities | 1375 N Hwy Dr, Mercy Clinic At Work Maritz, Fenton, MO 63026-1929 |
| Graham Tyler Foster | Family Medicine | Mercy Clinic East Communities | 9338 Olive Blvd, Suite 100a, Saint Louis, MO 63132-3248 |
| Danielle Besand | Nurse Practitioner | Mercy Clinic East Communities | 521 Anwijo Way, Warrenton, MO 63383-1388 |
| Candace Parker Fleming | Physician Assistant | Mercy Clinic East Communities | 739 W Springfield Ave, Gerald, MO 63037-2135 |
| Andrea M Schuster | Family Medicine | Mercy Clinic East Communities | 301 Theresa St, Cuba, MO 65453-1636 |
| Patrice Burnett | Nurse Practitioner | Mercy Clinic East Communities | 1390 Us Hwy 61 N-1000, Mercy Clinic Family Medicine Jeffe, Festus, MO 63028-4136 |
| Angela Mehler | Nurse Practitioner | Mercy Clinic East Communities | 5194 Jeremiah Blvd, Hillsboro, MO 63050-5815 |
| Spencer Cotterell | Physical Medicine and Rehabilitation | Mercy Clinic East Communities | 14561 N Outer 40 Rd, Chesterfield, MO 63017-5703 |
| Street Address |
15945 CLAYTON RD SUITE 210 |
| City | BALLWIN |
| State | MO |
| Zip | 63011-2491 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael S Unnerstall | Chiropractic | Mercy Hospitals East Communities | 15945 Clayton Rd, Suite 230, Ballwin, MO 63011-2490 |
| Sarah E Kessen | Nurse Practitioner | Mercy Clinic Surgical Specialists LLC | 15945 Clayton Rd, Suite 210, Ballwin, MO 63011-2490 |
| Pilar M Williamsen | Chiropractic | Mercy Hospitals East Communities | 15945 Clayton Rd, Suite 230, Ballwin, MO 63011-2490 |
| Husam T Nawas | Orthopedic Surgery | Mercy Clinic Surgical Specialists LLC | 15945 Clayton Rd, Suite 210, Ballwin, MO 63011-2490 |
| Michael Treisman | Internal Medicine | Mercy Clinic East Communities | 15945 Clayton Rd, Suite 340, Ballwin, MO 63011-2492 |
| Satheavy L Moore | Diagnostic Radiology | West County Radiological Group Inc | 15945 Clayton Rd, Suite 110, Ballwin, MO 63011-2490 |
| Julie A. Mai | Radiation Oncology | West County Radiological Group Inc | 15945 Clayton Rd, Suite 100, Ballwin, MO 63011-2155 |
| Vito A Mantese | Vascular Surgery | Mercy Clinic Surgical Specialists LLC | 15945 Clayton Rd, Suite 210, Ballwin, MO 63011-2490 |
| Margaretta L Mendenhall | Obstetrics/gynecology | Mercy Clinic East Communities | 15945 Clayton Rd, Suite 305, Ballwin, MO 63011-2486 |
| Katherine Seiler | Obstetrics/gynecology | Mercy Clinic East Communities | 15945 Clayton Rd, Suite 305, Ballwin, MO 63011-2486 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie L Partin | Nurse Practitioner | Ssm Medical Group Inc | 16105 Manchester Rd, Ellisville, MO 63011-2001 |
| Jill Ellsworth | Nurse Practitioner | Ssm Medical Group Inc | 16105 Manchester Rd, Ellisville, MO 63011-2001 |
| Phillip D Cornish | Nurse Practitioner | Ssm Medical Group Inc | 16105 Manchester Rd, Ellisville, MO 63011-2001 |
| Meredith B Stuart | Podiatry | Neil S Snyder Dpm PC | 16087 Manchester Rd, Ellisville, MO 63011-2103 |
| Leslie Reid | Chiropractic | Ellisville Chiropractic, Injury and Pain Clinic,llc | 16075 Manchester Rd, Ellisville, MO 63011-2103 |
| Neil S Snyder | Podiatry | Neil S Snyder Dpm PC | 16087 Manchester Rd, Ellisville, MO 63011-2103 |
| Leonard R Suiter | Chiropractic | 152 Clarkson Executive Park, Suiter Chiropractic Center LLC, Ellisville, MO 63011-2114 | |
| Audrey M Heath | Nurse Practitioner | Mercy East Ambulatory Services LLC | 1326 Clarkson Clayton Ctr, Ellisville, MO 63011-2145 |
| Jennifer Nicole Rispoli | Physical Therapy | Babar Enterprises LLC | 1346 Clarkson Clayton Ctr, Ellisville, MO 63011-2145 |
| Paul D Hallemann | Physical Therapy | Babar Enterprises LLC | 1346 Clarkson Clayton Ctr, Ellisville, MO 63011-2145 |
| Find all physicians in zip 63011 | |||
| City | BALLWIN |
| Zip Code | 63011 |
| Specialty | SPORTS MEDICINE |
| City + Specialty | BALLWIN + SPORTS MEDICINE |
Please comment or provide details below to improve the information on Devin R 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.