Douglas Frank Willard, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

175887 Issued in NY

Practice address

207 Madison Ave
Elmira, NY 14901-3204

Phone

(607) 734-2984

Fax

(607) 398-3411

NPI assigned

Sep 7, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1184618035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 MADISON AVE",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013204",
            "telephone_number": "607-734-2984",
            "fax_number": "607-398-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 MADISON AVE",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013204",
            "telephone_number": "607-734-2984",
            "fax_number": "607-398-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLARD",
        "first_name": "DOUGLAS",
        "middle_name": "FRANK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "175887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "180012684",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alec J Whyte, M.D.
• Robert Wicelinski Jr., D.O.
• Melissa P. Wichtowski, PT
• Olivia Marie Wicks
• Benjamin Wilcox, BSN, RN, CNOR, RNFA
• Melissa D Willenborg, MD
• William E. Clack M.D.
• Beth Ann Williams
• Dana Williams
• Edward D Williams, M.D.

• Ophthalmology Physician in Elmira, NY
• Providers in Elmira, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.