I E Willis Jr DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

0280 Issued in TX

Legal business name

I E WILLIS JR DPM PC

Practice address

609 E Whaley St
Longview, TX 75601-6526

Phone

(903) 753-3316

NPI assigned

Feb 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Selwyn Eugene Willis, DPMNPI 1356347637

Title

DPM

Phone

(903) 753-3316

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Selwyn Willis, DPM

  • Podiatrist
  • Longview, TX
  • NPI 1356347637
  NPD Authorized official

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1851579643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2202",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756062202",
            "telephone_number": "903-753-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 E WHALEY ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016526",
            "telephone_number": "903-753-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I E WILLIS JR DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "SELWYN",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "903-753-3316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "0280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa A Huston, LCSW
• Elizabeth K Hutcheson, MD
• Misty Hutchins, OTR
• Cuc Linh Thi Huynh, RPH
• Ngoc Tran Bao Huynh, PHARMACIST
• Elena Iglehart, MD
• Christopher E Ihionkhan, M.D.
• Omowumi Akhuini Ihionkhan, D.D.S.
• IHS Acquisition No 138 Inc
• Beverly K Iltis, PA

• Podiatrist in Longview, TX
• Providers in Longview, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.