Individual provider Active NPI

Joseph Howard Willman, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Austin, TX
National Provider Identifier
1003872342
Registry record updated Apr 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
L6720 Issued in TX
Practice address
3445 Executive Center Dr
Suite 250
Austin, TX 78731-1678
Phone
(512) 579-4000
Fax
(512) 439-2814
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X L6720 TX Primary

Addresses

Primary practice location

3445 Executive Center Dr
Suite 250
Austin, TX 78731-1678

Mailing address

3445 Executive Center Dr
Suite 250
Austin, TX 78731-1678
Phone (512) 579-4000

Other identifiers 1

IdentifierTypeStateIssuer
1595993MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, UT, CO, ID, AZ5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20100304000682 TX Practitioner - Pathology 1355486176 Reassigns benefits to 2 organizations
I20210915003010 UT Practitioner - Pathology 1355486176 Reassigns benefits to 2 organizations
I20211101000727 CO Practitioner - Pathology 1355486176 Reassigns benefits to 1 organization
I20220831000841 ID Practitioner - Pathology 1355486176 Reassigns benefits to 1 organization
I20230202002405 AZ Practitioner - Pathology 1355486176 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Bernert, LLC CurrentSince May 2, 2024 Accepting new patients
Hurt, Jacknow, Moore, Connor, Wells, Michels, Yurco, Listrom & Huang Anatomic Pathology & Clinical Pathology CurrentSince Aug 4, 2003 Accepting new patients
Village Oaks Pathology Services, P. a. CurrentSince Nov 15, 2021 Accepting new patients
Pathology Experts Inc Anatomic Pathology & Clinical Pathology CurrentSince Sep 28, 2022 Accepting new patients
Pathology Services PC Anatomic Pathology & Clinical Pathology Current Accepting new patients
Pathology Services PA Dermatopathology CurrentSince Oct 1, 2023 Accepting new patients
Village Oaks Pathology Services, P.a. Dermatopathology CurrentSince Nov 15, 2021 Accepting new patients
Monolith Diagnostics, PC Anatomic Pathology & Clinical Pathology PastSince Dec 25, 2022 Accepting new patients
Twin Cities Dermatopathology, LLC Dermatopathology Past Accepting new patients

Locations

2222 E Highland Ave
Ste 415
Phoenix, AZ 85016
Phone (480) 275-2494

9060 E Via Linda
Ste 115
Scottsdale, AZ 85258
Phone (480) 206-9091

9060 E Via Linda
Ste 150
Scottsdale, AZ 85258
Phone (480) 275-2494

520 E 22nd St
Lombard, IL 60148
Phone (630) 874-2542

5700 Southwyck Blvd
Toledo, OH 43614

3445 Executive Center Dr
Ste 250
Austin, TX 78731
Phone (512) 339-1275

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

3300 Nacogdoches Rd
Ste 110
San Antonio, TX 78217
Phone (210) 646-0890

1303 N Main St
Cedar City, UT 84721
Phone (435) 586-2229

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334534400000",
    "number": "1003872342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 EXECUTIVE CENTER DR",
            "address_2": "SUITE 250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311678",
            "telephone_number": "512-579-4000",
            "fax_number": "512-439-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 EXECUTIVE CENTER DR",
            "address_2": "SUITE 250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311678",
            "telephone_number": "512-579-4000",
            "fax_number": "512-439-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLMAN",
        "first_name": "JOSEPH",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2012-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "L6720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1595993",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.