Jeffrey William Willbrand, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

35038359 Issued in OH

Practice address

8040 Princeton-Glendale Rd
West Chester, OH 45069-0000

Phone

(513) 246-7000

Fax

(513) 246-5479

NPI assigned

Jul 19, 2005

Last updated

Oct 2, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ear Nose and Throat Specialists Inc

  • Otolaryngology Physician
  • Hamilton, OH
  • NPI 1326048836
  NPD (past)

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1437158813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4685 FOREST AVE STE C",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452123359",
            "telephone_number": "513-246-7800",
            "fax_number": "513-852-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 PRINCETON-GLENDALE RD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450690000",
            "telephone_number": "513-246-7000",
            "fax_number": "513-246-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLBRAND",
        "first_name": "JEFFREY",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "35038359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0429512",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100340880B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Joseph Wickstrom, PT, DPT, CPE, CDMS
• Chasidy Sunshine Wiesman, LPN
• Grant Wilhelm
• Janet Somi Wilkerson
• Valerie Jean Wilkinson, LPN
• Brandi Williams
• Brenda J'Nay Williams
• Carol L Williams, LPCC
• Joshua Williams, CNP
• Latasha M Williams

• Otolaryngology Physician in West Chester, OH
• Providers in West Chester, OH by specialty
• Otolaryngology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.