Active NPI
Terry Wills, DPM
- Foot & Ankle Surgery Podiatrist
- Altoona, PA
National Provider Identifier
1306841333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- SC003314L
- Practice address
- 711 Logan Blvd
Altoona, PA 16602-4165 - Phone
- (814) 943-3668
- Fax
- (814) 942-7635
- NPI assigned
- Jun 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC003314L | PA | Primary |
Addresses
Primary practice location
711 Logan Blvd
Altoona, PA 16602-4165
Mailing address
711 Logan Blvd
Altoona, PA 16602-4165
Phone (814) 943-3668
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203328 | Other | UPMC | |
| 2520552/4574572PPO | Other | AETNA | |
| 8596-1327 | Other | GEISINGER | |
| 1502116 | Other | PA | GATEWAY |
| 99382 | Other | HEALTH AMERICA | |
| WI548171 | Other | BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC003314L | PA | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306841333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 LOGAN BLVD",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166024165",
"telephone_number": "814-943-3668",
"fax_number": "814-942-7635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 LOGAN BLVD",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166024165",
"telephone_number": "814-943-3668",
"fax_number": "814-942-7635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLS",
"first_name": "TERRY",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": "SC003314L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "203328",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2520552/4574572PPO",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER",
"identifier": "8596-1327",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1502116",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA",
"identifier": "99382",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "WI548171",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Altoona, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.