Organization Active NPI

Martha P. Wills, M.D., F.a.C.S., PA

  • Surgery Physician
  • North Richland Hills, TX
National Provider Identifier
1053593608
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
J0367 Issued in TX
Legal business name
MARTHA P. WILLS, M.D., F.A.C.S., PA
Practice address
4375 Booth Calloway Rd
507
North Richland Hills, TX 76180-8359
Phone
(817) 595-8822
Fax
(817) 595-8833
NPI assigned
Dec 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Authorized official

Name
Dr. Martha Pauline Wills, M.D.NPI 1154416600
Title
President
Phone
(817) 595-8822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X J0367 TX Primary

Addresses

Primary practice location

4375 Booth Calloway Rd
507
North Richland Hills, TX 76180-8359

Mailing address

4375 Booth Calloway Rd
507
North Richland Hills, TX 76180-8359
Phone (817) 595-8822

National Provider Directory

National Provider Directory

Locations

3848 North Tarrant Pkwy
Ste 110
Fort Worth, TX 76244
Phone (817) 595-8822

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1053593608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4375 BOOTH CALLOWAY RD",
            "address_2": "507",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761808359",
            "telephone_number": "817-595-8822",
            "fax_number": "817-595-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4375 BOOTH CALLOWAY RD",
            "address_2": "507",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761808359",
            "telephone_number": "817-595-8822",
            "fax_number": "817-595-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA P. WILLS, M.D., F.A.C.S., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "WILLS",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "PAULINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-595-8822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "J0367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.