Organization Active NPI

Donald J Willems, DO

  • Health Service Clinic/Center
  • Deerfield Beach, FL
National Provider Identifier
1225443195
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
OS10400 Issued in FL
Legal business name
DONALD J WILLEMS, DO
Doing business as
Donald J Willems, DO
Practice address
1898 W Hillsboro Blvd
Ste H
Deerfield Beach, FL 33442-1434
Phone
(954) 571-9392
Fax
(954) 571-6788
NPI assigned
Jun 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Authorized official

Name
Dr. Donald J Willems, DONPI 1194972224
Title
Owner
Phone
(954) 260-2363

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X OS10400 FL Primary

Addresses

Primary practice location

1898 W Hillsboro Blvd
Ste H
Deerfield Beach, FL 33442-1434

Mailing address

1898 W Hillsboro Blvd
Ste H
Deerfield Beach, FL 33442-1434
Phone (954) 571-9392

Other names 1

  • Donald J Willems, DO Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1225443195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1898 W HILLSBORO BLVD",
            "address_2": "STE H",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334421434",
            "telephone_number": "954-571-9392",
            "fax_number": "954-571-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1898 W HILLSBORO BLVD",
            "address_2": "STE H",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334421434",
            "telephone_number": "954-571-9392",
            "fax_number": "954-571-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD J WILLEMS, DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-30",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "WILLEMS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-260-2363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "OS10400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Donald J Willems, DO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.