William Philip Willis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH13251 Issued in FL

Practice address

1413 Kingsley Ave
Orange Park, FL 32073-4527

Phone

(904) 264-3966

Fax

(904) 278-7171

NPI assigned

Oct 19, 2020

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

Practice roles

Networks

• FL HMO D-SNP
• FL PPO
• devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
• FL HMO
• FL HMO C-SNP
• devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
• AL HMO D-SNP
• devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
• devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
• devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
• AL HMO

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.

• Bob Hutchinson PA

  • Chiropractor
  • Orange Park, FL
  • NPI 1235460619
  NPD (past)
• River Hills Chiropractic Clinic Inc

  • Rehabilitation Chiropractor
  • Jacksonville, FL
  • NPI 1447595889
  NPD (past)

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1003415324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734527",
            "telephone_number": "904-264-3966",
            "fax_number": "904-278-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734527",
            "telephone_number": "904-264-3966",
            "fax_number": "904-278-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "WILLIAM",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah-Faith Williams
• Tameka Williams
• Thomas Campbell Williams
• Veyonte R Williams
• Jessi Williamson
• Shaila N Williston, MD
• Assumpta Wilson
• Kayla Madisen Wilson
• Kristine Elizabeth Wilson, CRNA, DNP, ARNP
• Kristopher Edward Wilson, MOT

• Chiropractor in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.