Paul L. Willis, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

151956 Issued in MA

Practice address

40 Wright St
Palmer, MA 01069-1138

Phone

(413) 283-7651

NPI assigned

Oct 25, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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 1

Specialty

Emergency Medicine

Education

George Washington University School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Physicians of FalmouthGroup PAC ID 9032377569, 16 clinicians

Urgi Center Medical GroupGroup PAC ID 3476790601, 83 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Falmouth Hospital Hospital, Falmouth, MA, CCN 220135

Procedures performed for Medicare patients

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.

• Emergency Physicians of Falmouth

  • Emergency Medicine Physician
  • Falmouth, MA
  • NPI 1376828988
  Medicare reassignment Care Compare group NPD
• Urgi Center Medical Group

  • Urgent Care Clinic/Center
  • Sandwich, MA
  • NPI 1902146798
  Medicare reassignment Care Compare group NPD
• Community Medical Associates, Inc.

  • Family Medicine Physician
  • Lawrence, MA
  • NPI 1144544040
  Medicare reassignment NPD
• Steward Emergency Physicians, Inc

  • Emergency Medicine Physician
  • Ayer, MA
  • NPI 1780971275
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Falmouth Hospital Association Inc

  • General Acute Care Hospital
  • Falmouth, MA
  • NPI 1336106806
  Care Compare affiliation

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1184614703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WHITAKER LN",
            "city": "GROTON",
            "state": "MA",
            "postal_code": "014501986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WRIGHT ST",
            "city": "PALMER",
            "state": "MA",
            "postal_code": "010691138",
            "telephone_number": "413-283-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "PAUL",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "151956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110058602A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wellman Healthcare Group Inc
• David J White, MSW
• Jill M Williams
• Susan Williams, APRN
• William L Williams III, PA
• Wing Emergency Services, PC
• Wing Memorial Hospital Corporation
• Wing Memorial Hospital Corporation
• Rebecca J. Wing, MPT
• Jennifer L Winslow, DO

• Emergency Medicine Physician in Palmer, MA
• Providers in Palmer, MA by specialty
• Emergency Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.