Active NPI
Ronald R Willey, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Clearwater, FL
National Provider Identifier
1356565220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- ME9631
- Practice address
- 1927 Cove Lane
Clearwater, FL 33764 - Phone
- (727) 536-0687
- NPI assigned
- Apr 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | ME9631 | FL | Primary |
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | ME 9631 | FL |
Addresses
Primary practice location
1927 Cove Lane
Clearwater, FL 33764
Mailing address
6015 Benjamin Rd
Suite 315
Tampa, FL 33634-5179
Phone (813) 886-2616
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME9631 | FL | MD | Anatomic Pathology & Clinical Pathology Physician |
| ME 9631 | FL | MD | Clinical Pathology/Laboratory Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Urology PSC | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Urology Center of FL Physicians Inc | Past | Accepting new patients | |
| First Urology, PSC | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Tampa, FL
- NPI 1033323829
-
- Multi-Specialty Clinic/Center
- Ocala, FL
- NPI 1396786521
-
- Urology Physician
- Jeffersonville, IN
- NPI 1922099811
Anatomic Pathology & Clinical Pathology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439769600000",
"number": "1356565220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6015 BENJAMIN RD",
"address_2": "SUITE 315",
"city": "TAMPA",
"state": "FL",
"postal_code": "336345179",
"telephone_number": "813-886-2616",
"fax_number": "813-886-0858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1927 COVE LANE",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "33764",
"telephone_number": "727-536-0687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLEY",
"first_name": "RONALD",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2015-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "FL",
"license": "ME9631",
"primary": true
},
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "FL",
"license": "ME 9631",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.