NPIMap

Organization Active NPI

L Willis Roberts MD General Surgery LLC

  • Specialist
  • Westfield, MA
National Provider Identifier
1447676739
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
80758 Issued in MA
Legal business name
L WILLIS ROBERTS MD GENERAL SURGERY LLC
Doing business as
General Surgery
Practice address
75 Springfield Rd
Suite 3
Westfield, MA 01085-1790
Phone
(413) 572-2973
Fax
(413) 572-2975
NPI assigned
Mar 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Authorized official

Name
Dr. Loran Willis Roberts, M.D.
Title
Owner
Phone
(413) 572-2973

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 80758 MA Primary

Addresses

Primary practice location

75 Springfield Rd
Suite 3
Westfield, MA 01085-1790

Mailing address

75 Springfield Rd
Suite 3
Westfield, MA 01085-1790
Phone (413) 572-2973

Other names 1

  • General Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

75 Springfield Rd
Ste 3
Westfield, MA 01085
Phone (413) 527-2973

NPI Registry JSON

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1447676739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 SPRINGFIELD RD",
            "address_2": "SUITE 3",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010851790",
            "telephone_number": "413-572-2973",
            "fax_number": "413-572-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SPRINGFIELD RD",
            "address_2": "SUITE 3",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010851790",
            "telephone_number": "413-572-2973",
            "fax_number": "413-572-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L WILLIS ROBERTS MD GENERAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "LORAN",
        "authorized_official_middle_name": "WILLIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-572-2973",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "80758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "General Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.