Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason Willis, MD

Individual provider Internal Medicine Physician · NPI 1679603153

Jason Willis, MD is an Internal Medicine in Ardmore, Oklahoma. Qualified in 1997, 29 years ago. Practices with Kagman Community Health Center Inc, an 11-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
29
Licensed in
OK
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1101 12th Ave NW Mercy Ardmore Hospital Wound Care Ctr
Ardmore, OK 73401
Phone: (580) 220-6290
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 29655 (OK)

Record details

NPI number1679603153
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 6, 2007
Last updated in NPPESOctober 19, 2015
Mailing addressPo Box 848371, Boston, MA 02284-8371

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Kagman Community Health Center Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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