James W Willoughby II DO PC

Primary specialty

Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianTaxonomy code 207KI0005X

License

37014 Issued in MO

Legal business name

JAMES W WILLOUGHBY II DO PC

Doing business as

Liberty Holistic Medicine Center

Practice address

24-26 S Main St
Ste a
Liberty, MO 64069

Phone

(816) 781-0902

NPI assigned

Jan 11, 2012

Last updated

Jan 11, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James W Willoughby II, DO

Title

Owner

Phone

(816) 781-0902

Specialties & licenses 1

Addresses

Other names 1

• Liberty Holistic Medicine Center Doing business as

Locations

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1396015095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24-26 S MAIN ST",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "64069",
            "telephone_number": "816-781-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24-26 S MAIN ST",
            "address_2": "STE A",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "64069",
            "telephone_number": "816-781-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES W WILLOUGHBY II DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "WILLOUGHBY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-781-0902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207KI0005X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "MO",
            "license": "37014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Holistic Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Allergy & Immunology Physician in Liberty, MO
• Providers in Liberty, MO by specialty
• Allergy & Immunology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.