Steven Mathias Willis, DC

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

CH0003581 Issued in FL

Practice address

1911 Buford Blvd
Tallahassee, FL 32308-4466

Phone

(850) 878-3999

Fax

(850) 942-4587

NPI assigned

Jun 28, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275561623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 BUFORD BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084466",
            "telephone_number": "850-878-3999",
            "fax_number": "850-942-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 BUFORD BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084466",
            "telephone_number": "850-878-3999",
            "fax_number": "850-942-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "STEVEN",
        "middle_name": "MATHIAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "FL",
            "license": "CH0003581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Paul Willis
• Kellie Love Willis, COTA/L
• Kendall Willis, FNP
• Mary Caitlin Willis, RN
• Ronald Gordan Willis Jr., DMD
• Sydney Nicole Willis
• Courtney Nicole Willoughby, LMHC
• Kerra Wills, LCSW
• Madison Abby Willyoung
• Jessica Carlene Wilmer, BS

• Orthopedic Chiropractor in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Orthopedic Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.