Norman Robert Willis, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

M-14114 Issued in ID

Practice address

504 6TH St
Lewiston, ID 83501-2439

Phone

(208) 799-5600

Fax

(208) 799-5755

NPI assigned

Oct 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, OR, ID, AZ4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 4

Specialty

Radiation Oncology

Education

University of California, Geffen School of Medicine, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Meridian Park Radiation Oncolog Center IncGroup PAC ID 0941298491, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Meridian Park Radiation Oncolog Center, Inc

  • Radiation Oncology Clinic/Center
  • Tualatin, OR
  • NPI 1114019684
  Medicare reassignment Care Compare group
• St Joseph Hospital LLC

  • Internal Medicine Physician
  • Lewiston, ID
  • NPI 1205368404
  Medicare reassignment NPD
• Medical Oncology Associates, P.S.

  • Specialist
  • Spokane, WA
  • NPI 1215980198

  ID

  Medicare reassignment NPD
• Phoenix Cancer and Blood Disorder Treatment Institute PLLC

  • Hematology & Oncology Physician
  • Bullhead City, AZ
  • NPI 1255819736
  Medicare reassignment NPD
• Spokane Dermatology Clinic PS

  dba William P Werschler MD

  • Dermatology Physician
  • Spokane, WA
  • NPI 1649367889
  Medicare reassignment NPD
• Medical Oncology Associates, PS

  • Radiation Oncology Physician
  • Spokane Valley, WA
  • NPI 1831524073
  NPD
• Michael Kos MD, PS

  dba Brachy Radiation Specialists

  • Radiation Oncology Physician
  • Lewiston, ID
  • NPI 1528735917
  NPD (past)
• Radiation Oncologists PC

  • Radiation Oncology Physician
  • Portland, OR
  • NPI 1003853805
  NPD (past)
• The Vancouver Clinic Inc PS

  dba Salmon Creek 2 Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Vancouver, WA
  • NPI 1306556907
  NPD (past)

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1508854290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6489 SW BORLAND RD",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629798",
            "telephone_number": "503-692-4843",
            "fax_number": "503-692-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 6TH ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012439",
            "telephone_number": "208-799-5600",
            "fax_number": "208-799-5755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6489 SW Borland Rd",
            "address_purpose": "LOCATION",
            "city": "Tualatin",
            "state": "OR",
            "postal_code": "970629798",
            "country_code": "US",
            "telephone_number": "503-692-4843",
            "fax_number": "503-692-6543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "NORMAN",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "OR",
            "license": "MD09427",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OR",
            "license": "MD09427",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "ID",
            "license": "M-14114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Elizabeth Bryan Willard, PHARMD
• William R. Bozarth, M.D., P.S.
• Daniel E Williams, M.D.
• John Lindsey Williams
• Charla Rae Willis, MD
• Wilson Polito PLLC (Alpine Vision Center)
• Kim Janet Wilson, MD
• Sherry Wiseley
• John Richard Wisniewski Jr.
• Heather L Witters, CNM

• Radiation Oncology Physician in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Radiation Oncology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.