Dwayne Wills

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

400991311009 Issued in OH

Practice address

675 Penny LN S
Gahanna, OH 43230-2348

Phone

(614) 732-9617

NPI assigned

Jul 8, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1174939391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 PENNY LN S",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432302348",
            "telephone_number": "614-732-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 PENNY LN S",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432302348",
            "telephone_number": "614-732-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLS",
        "first_name": "DWAYNE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "400991311009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102428929899",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marla Williams
• Michael D. Williams, DO
• Shellie Rae Williams
• Yvette S Williams, R.N.
• Michael B Williard, MD
• Logan Aaron Wilson, APRN-CNP
• Courtney Wineland, PSYD
• Marcus Wing, D.O.
• Glenn M Winnestaffer, DC, DIBCN
• Taylor Winslow

• Home Health Aide in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.