Willliam F Willis, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

76-117 Issued in NM

Practice address

7520 Montgomery Blvd NE
Albuquerque, NM 87109-1533

Phone

(505) 884-7070

Fax

(505) 884-6018

NPI assigned

Aug 31, 2005

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

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• New Mexico Dermatology Associates, P.a.

  • Specialist
  • Albuquerque, NM
  • NPI 1982764775
  NPD
• Primary Care of Albuquerque LLC

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1417780511
  NPD (past)

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1033102488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 PINON HILL PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871221914",
            "telephone_number": "505-856-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 MONTGOMERY BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091533",
            "telephone_number": "505-884-7070",
            "fax_number": "505-884-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "WILLLIAM",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NM",
            "license": "76-117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gillian Willis
• Joshua A Willis
• Linda Carol Willis, MSW, LMSW
• Maria Willis
• Timothy John Willis, DO
• Judith Karen Willmore, LPCC
• David L Willoughby, D.D.S.
• Jonathan R Willoughby, LCSW
• Wanda Lee Willow O'Rourke, LMT, MMP
• Benjamin Willow, DPT

• Dermatology Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Dermatology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; 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.