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Deactivated NPI 1114974540 Deactivated / Inactive NPI Male Practitioner

Dr. Jon T Willis , MD

Anesthesiology • Oklahoma City, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jon Willis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 30, 2006
NPI Deactivation Date January 03, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Jon Willis, MD was a registered Anesthesiology practicing in Oklahoma City, OK. Throughout an active medical career spanning 18 years, Dr. Willis provided care at the practice location at 4400 WILL ROGERS PKWY until profile deactivation on 2024-01-03.

Historical Medicare Part B clinical services included anesthesia for lens surgery, anesthesia for procedure on eyelid, anesthesia for procedure on eye. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

4400 Will Rogers Pkwy
105

Oklahoma City, OK 731081837

Telephone 4059512815
Fax 4059486507
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Oklahoma City, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.2 Yrs
State Avg: 25.1 Yrs
Regional Practice Density
373 Specialists

Practicing in Oklahoma City, OK (640 Statewide)

Telehealth Adoption Rate
0.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
86.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
00142 Anesthesia for lens surgery
37 25 $838.38 $110.52

Medical Specialties & State Licenses

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License OK 8472

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

34 Associated Practitioners
Dr. Alfred Hill , MD

Anesthesiology

NPI 1043273360

Doctor of Medicine (M.D.)

NPI 1083609861

Doctor of Medicine (M.D.)

NPI 1093767691

Doctor of Medicine (M.D.)

James Patterson , CRNA

Nurse Anesthetist, Certified Registered

NPI 1225125966

Certified Registered Nurse Anesthetist

James Hogan , PA

Physician Assistant

NPI 1225276801

Physician Assistant

Sherry Edon , CRNA

Nurse Anesthetist, Certified Registered

NPI 1225657786

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
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NPI Profile Deactivated January 03, 2024

Record deactivated on January 03, 2024

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Updated Practice Location May 22, 2018

Registered at 4400 WILL ROGERS PKWY, 105, OKLAHOMA CITY, OK 73108 (Tel: 4059512815)

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Updated Business Mailing Address May 22, 2018

Registered at PO BOX 840848, DALLAS, TX 752840848 (Tel: 9727155000)

NPI Profile Active September 16, 2008

NPI status registered as active in NPPES database

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Updated Practice Location September 16, 2008

Registered at 4400 WILL ROGERS PKWY, 105, OKLAHOMA CITY, OK 731081837 (Tel: 4059512815)

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Updated Business Mailing Address September 16, 2008

Registered at PO BOX 26168, OKLAHOMA CITY, OK 731260168 (Tel: 4059478585)

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Provider Name / Credentials Updated September 16, 2008

Recorded as JON WILLIS, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2008

Anesthesiology (License #8472 in OK)

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Initial NPI Registration & Enumeration May 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114974540
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 30, 2006
Last Update: September 16, 2008
Deactivation Date: January 03, 2024

Mailing Address

Po Box 26168

Oklahoma City, OK 731260168

Phone: 4059478585

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.