Active NPI
Robert P Wills MD PLLC
- Interventional Pain Medicine Physician
- Georgetown, TX
National Provider Identifier
1306077482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- ROBERT P WILLS MD PLLC
- Practice address
- 3201 S Austin Ave
Suite 265
Georgetown, TX 78626-7537 - Phone
- (512) 416-7246
- Fax
- (512) 275-2833
- NPI assigned
- Aug 6, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert P. Wills, M.D.
- Title
- President
- Phone
- (512) 416-7246
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | |||
| Chiropractor | 111N00000X | |||
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | |||
| Interventional Pain Medicine Physician | 208VP0014X | Primary | ||
| Physical Therapist | 225100000X | |||
| Medical Physician Assistant | 363AM0700X | |||
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
3201 S Austin Ave
Suite 265
Georgetown, TX 78626-7537
Mailing address
2501 W William Cannon Dr
Ste 401
Austin, TX 78745-5281
Phone (512) 416-7246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207515201 | Medicaid | TX |
Other names 1
- Austin Pain Associates
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1451260800000",
"number": "1306077482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 W WILLIAM CANNON DR",
"address_2": "STE 401",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787455281",
"telephone_number": "512-416-7246",
"fax_number": "512-275-2833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 S AUSTIN AVE",
"address_2": "SUITE 265",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786267537",
"telephone_number": "512-416-7246",
"fax_number": "512-275-2833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT P WILLS MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-06",
"last_updated": "2015-12-28",
"status": "A",
"authorized_official_last_name": "WILLS",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "512-416-7246",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207515201",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Austin Pain Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.