NPIMap

Individual provider Active NPI

Gregory S Willis, DO

  • Gynecologic Oncology Physician
  • York, PA
National Provider Identifier
1184605677
Registry record updated Jan 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
OS009400L Issued in PA
Practice address
1703 Innovation Dr Ste 2001
York, PA 17408-8815
Phone
(717) 801-0739
Fax
(717) 801-0645
NPI assigned
Nov 10, 2005
Last updated
Jan 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X OS009400L PA Primary

Addresses

Primary practice location

1703 Innovation Dr Ste 2001
York, PA 17408-8815

Mailing address

409 S 2ND St Ste 2F
Harrisburg, PA 17104-1612

Other practice location 1

2035 Technology Pkwy Ste 201
Mechanicsburg, PA 17050-9497
Phone (717) 221-5940

Other identifiers 1

IdentifierTypeStateIssuer
001722360MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gwillis7574@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100916000721 PA Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 0840335733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gynecological OncologyAlso: Obstetrics/Gynecology
Education
University of North Texas HSC, College of Osteopathic Med, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

111 S Front St
Harrisburg, PA 17101-2010

1701 Innovation Dr
York, PA 17408-8815
Phone (717) 843-8623

1703 Innovation Dr
York, PA 17408-8815

18 N St
Hanover, PA 17331-2275

20 N St
Upmc Maternal Fetal Medicine
Hanover, PA 17331-2275
Phone (717) 231-8472

2150 Noll Dr
Suite 220
Lancaster, PA 17603-7605
Phone (717) 988-0611

2150 Noll Drive
Lancaster, PA 17603-7605

2150 Noll Drve
Suite 200
Lancaster, PA 17603-7605
Phone (717) 544-3190

2501 N 3Rd St
Kline Health Center Foot and Ankle
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd St 2ND FL Kline HC
Reach Program
Harrisburg, PA 17110-1904
Phone (717) 782-2363

2501 N 3Rd St FL
2 Kline Health Center
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd Street 2ND Floor
Pinnaclehealth Psychological Associates
Harrisburg, PA 17110-1904
Phone (717) 782-2143

300 Highland Ave
Hanover, PA 17331-2297
Phone (717) 316-3711

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of the uterus23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Feb 2, 2011 Accepting new patients
Pinnacle Health Medical Services CurrentSince Feb 2, 2011 Accepting new patients
Pinnacle Health Medical Services Gynecologic Oncology Current Accepting new patients
Upmc Memorial Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

310 Stock St
Ste 5
Hanover, PA 17331
Phone (717) 316-2163

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

3901 N Front St
Harrisburg, PA 17110
Phone (717) 221-5920

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

233 College Ave
Lancaster, PA 17603
Phone (717) 735-3111

2005 Technology Pkwy
Mechanicsburg, PA 17050
Phone (717) 791-2620

2035 Technology Pkwy
Ste 201
Mechanicsburg, PA 17050
Phone (717) 231-4567

1703 Innovation Dr
Ste 2001
York, PA 17408
Phone (717) 801-0739

Interoperability endpoints

  • Direct secure messaging: gwillis19196@upmc.direct-ci.com
  • Direct secure messaging: gwillis7574@phsdirect.pinnaclehealth.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611360000000",
    "number": "1184605677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S 2ND ST STE 2F",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 INNOVATION DR STE 2001",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174088815",
            "telephone_number": "717-801-0739",
            "fax_number": "717-801-0645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2035 Technology Pkwy Ste 201",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170509497",
            "country_code": "US",
            "telephone_number": "717-221-5940",
            "fax_number": "717-233-1939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "GREGORY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2021-01-23",
        "certification_date": "2021-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "PA",
            "license": "OS009400L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001722360",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gwillis7574@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "1703 Innovation Dr Ste 2001",
            "city": "York",
            "state": "PA",
            "country_code": "US",
            "postal_code": "174088815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.