Michael Willis, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ME60656 Issued in FL

Practice address

1051 Hickory St
Melbourne, FL 32901-1962

Phone

(321) 784-3700

Fax

(321) 784-4090

NPI assigned

Dec 18, 2006

Last updated

Jun 5, 2008By the provider in NPPES

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 names 1

• Dr. Michael Willis Professional name

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Orange City Anesthesia Services LLC

  • Anesthesiology Physician
  • Orange City, FL
  • NPI 1972882314
  Medicare reassignment NPD
• Anesthesiology Professional Services, Inc.

  • Anesthesiology Physician
  • Tampa, FL
  • NPI 1902856891
  NPD
• Innovative Medical Staffing Solutions Inc

  dba iMEDSolutions

  • Certified Registered Nurse Anesthetist
  • Orlando, FL
  • NPI 1629308713

  Anesthesiology

  NPD
• C R Anesthesia PA

  • Anesthesiology Physician
  • Crystal River, FL
  • NPI 1801801527
  NPD (past)
• St. Lukes Surgical at the Villages, Inc

  • Ambulatory Surgical Clinic/Center
  • The Villages, FL
  • NPI 1205184603
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1194888776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SCOTT NIXON MEMORIAL DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309072464",
            "telephone_number": "706-650-0705",
            "fax_number": "706-650-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 HICKORY ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011962",
            "telephone_number": "321-784-3700",
            "fax_number": "321-784-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME60656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "WILLIS",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tacheika Williams, RBT
• Vincent Michael Williams, DC, MS, LAT, ATC
• Jeffrey Michael Williamson, PH D
• Terri G Williamson, LMHC
• Cynthia McLurkin Williford, ARNP
• Tina A. Wills, COTA
• Tracy Wills, LMHC
• Adma Wilson-Romans, ARNP
• Ariel Michelle Wilson-Williams, LMHC
• Alexandra Wilson

• Anesthesiology Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.