- Practice location
- 1101 12TH Ave, NW, Mercy Ardmore Hospital Wound Care Center, Ardmore, OK 73401
- Phone
- 580-220-6290
- Fax
- —
- Last updated
- October 19, 2015
Jason Willis is an Internal Medicine based in Ardmore, OK. Jason Willis practices in Ardmore, OK and has the professional credentials of MD. The NPI Number for Jason Willis is 1679603153 and holds a License No. 29655 (OK). The current practice location address for Jason Willis is 1101 12TH Ave, NW, Mercy Ardmore Hospital Wound Care Center, Ardmore, OK 73401 and can be reached out via phone at 580-220-6290.
Provider Profile Details
- NPI Number
- 1679603153
- Provider Name
- Jason Willis
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1101 12TH Ave, NW, Mercy Ardmore Hospital Wound Care Center, Ardmore, OK 73401
- Phone Number
- 580-220-6290
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 6, 2007
- Last Update Date
- October 19, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1101 12TH Ave, NW
Mercy Ardmore Hospital Wound Care Center
Ardmore, OK 73401 - City
- Ardmore
- State
- Oklahoma
- Zip
- 73401
- Phone Number
- 580-220-6290
Provider Business Mailing Address Details
- Address
- Po Box 848371
Boston, MA 02284-8371 - City
- Boston
- State
- MA
- Zip
- 02284-8371
- Phone Number
- 580-920-9000
- Fax Number
- 580-920-9159
License Information
- License Number
- 29655
- License State
- OK
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine providers near Ardmore, OK
View all Internal Medicine providers in Ardmore →Frequently Asked Questions
What is the NPI number of Jason Willis, MD?
The NPI number of Jason Willis, MD is 1679603153. It was assigned on March 6, 2007 and is currently active in the NPPES registry.
What is the specialty of Jason Willis, MD?
Jason Willis, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in OK under license number 29655.
Where does Jason Willis, MD practice?
The practice location is 1101 12TH Ave, NW, Mercy Ardmore Hospital Wound Care Center, Ardmore, OK 73401. The office can be reached at 580-220-6290 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679603153 directly on the NPPES registry website.