Edward Norburn Willey, M.D.

Primary specialty

Forensic Pathology PhysicianTaxonomy code 207ZF0201X

License

10854 Issued in FL

Practice address

6727 1St Ave S
Suite 204
Saint Petersburg, FL 33707-1339

Phone

(727) 345-2907

NPI assigned

Dec 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467511501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7869 9TH AVE S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337072730",
            "telephone_number": "727-345-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6727 1ST AVE S",
            "address_2": "SUITE 204",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337071339",
            "telephone_number": "727-345-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLEY",
        "first_name": "EDWARD",
        "middle_name": "NORBURN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "FL",
            "license": "10854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Ambler Wiley, APRN, PMHNP-BC
• Dewitt Wilkerson, D.M.D
• Tasha R. Wilkerson, LCSW
• Donna Wilkinson, APRN-C
• Devon Willette
• William Gross, DPM, PA
• William M Blackshear Jr MD PA
• William N Handelman MD PA
• William W Adams MD PA
• Tammera D. Williams Boyd, CM

• Forensic Pathology Physician in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Forensic Pathology Physician in Florida

• 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.

Verify at the official NPI Registry.