William A Willis, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

12280 Issued in OK

Practice address

104 Wall St
Poteau, OK 74953

Phone

(918) 839-2159

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pro-Care Family Health of Oklahoma , LLCGroup PAC ID 1456603901, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Compassion Home Care, Inc. Home health agency, Stigler, OK, CCN 377740
• Mays Housecall Home Health of Tulsa, LLC Home health agency, Tulsa, OK, CCN 377691
• Green Country Home Care, Inc Home health agency, Poteau, OK, CCN 377206
• Eastern Oklahoma Medical Center Hospital, Poteau, OK, CCN 371337
• Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062

Merit-based Incentive Payment System (MIPS)

Final score

87.66 of 100Reported as individual

Quality

78.95

Improvement activities

40

Cost

57.61

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: william.willis.1@29002.direct.athenahealth.com

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

• Pro-Care Family Health of Oklahoma , LLC

  • Family Medicine Physician
  • Poteau, OK
  • NPI 1396234761
  Medicare reassignment Care Compare group
• Leflore County Hospital Authority

  dba Eastern Oklahoma Medical Center

  • Critical Access Hospital
  • Poteau, OK
  • NPI 1396767158
  NPD (past)

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

• Compassion Home Care, Inc.

  • Home Health Agency
  • Stigler, OK
  • NPI 1891920211
  Care Compare affiliation
• Green Country Home Care, Inc.

  • Home Health Agency
  • McAlester, OK
  • NPI 1053423681
  Care Compare affiliation
• Leflore County Hospital Authority

  dba Mountain Gateway Senior Health

  • Psychiatric Hospital Unit
  • Poteau, OK
  • NPI 1184997447
  Care Compare affiliation
• Leflore County Hospital Authority

  dba Eastern Oklahoma Medical Center

  • Critical Access Hospital
  • Poteau, OK
  • NPI 1396767158
  Care Compare affiliation
• Mays Housecall Home Health of Tulsa, LLC

  • Home Health Agency
  • Tulsa, OK
  • NPI 1063837706
  Care Compare affiliation
• Mercy Hospital Fort Smith

  • General Acute Care Hospital
  • Fort Smith, AR
  • NPI 1568433480
  Care Compare affiliation

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1205875846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749530459",
            "telephone_number": "918-839-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 WALL ST",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "74953",
            "telephone_number": "918-839-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OK",
            "license": "12280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100117220A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward P Williams, M.ED., LADC
• Karen Lynn Williams, NP
• Makailyn Williams, BS
• Sue Ann Williams, COUNSELOR-
• Ronnie Williford
• Autumn Nicole Wilson, APRN
• Jami C Winters, BHRS
• Jeanne Marie Winters, OTR
• Wise Holdings LLC (Total Health Solutions)
• Breanna Lee Womack, LPC-S, NCC

• General Practice Physician in Poteau, OK
• Providers in Poteau, OK by specialty
• General Practice Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.