Donald J Willems, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS10400 Issued in FL

Practice address

1341 S Powerline Rd
Pompano Beach, FL 33069-4313

Phone

(954) 979-9979

Fax

(954) 979-9545

NPI assigned

Aug 20, 2008

Last updated

May 21, 2012By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Donald J Willems, DO

  • Health Service Clinic/Center
  • Deerfield Beach, FL
  • NPI 1225443195
  NPD (past) Authorized official
• Pompano Beach Pain Management, Inc.

  • Multi-Specialty Clinic/Center
  • Pompano Beach, FL
  • NPI 1205136371
  NPD (past)

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1194972224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 S POWERLINE RD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694313",
            "telephone_number": "954-979-9979",
            "fax_number": "954-979-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 S POWERLINE RD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694313",
            "telephone_number": "954-979-9979",
            "fax_number": "954-979-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLEMS",
        "first_name": "DONALD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-20",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS10400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael James Wile, MD
• Hannah Corrina Wiles, B.S.
• Tara Wiley
• Juanita Wilkerson
• Shauna Jean Wilkins
• William J Rand Mdpa
• William V Jensen DO PA
• India Williams-Sawyer
• Aberdeen Williams
• Adeenaw Williams, B.A.

• Family Medicine Physician in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.