Wills Community Surgical Services of Center City

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

261QA1903X Issued in PA

Legal business name

WILLS COMMUNITY SURGICAL SERVICES OF CENTER CITY

Practice address

Wills Community Surgical Services of Center City
840 Walnut Street, Suite 700
Philadelphia, PA 19107-5109

Phone

(215) 928-3100

Fax

(215) 928-3006

NPI assigned

Jul 18, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Joseph P Bilson

Title

President

Phone

(215) 440-3152

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568461150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WILLS COMMUNITY SURGICAL SERVICES OF CENTER CITY",
            "address_2": "840 WALNUT STREET, SUITE 700",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075109",
            "telephone_number": "215-928-3100",
            "fax_number": "215-928-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WILLS COMMUNITY SURGICAL SERVICES OF CENTER CITY",
            "address_2": "840 WALNUT STREET, SUITE 700",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075109",
            "telephone_number": "215-928-3100",
            "fax_number": "215-928-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLS COMMUNITY SURGICAL SERVICES OF CENTER CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BILSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-440-3152",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "261QA1903X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "001580",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Okeoghene Willoby, CRNP
• Azilee Willoughby
• Willow Mental Health LLC
• Willow Terrace
• Willow Way Counseling LLC
• Wills Eye Ophthalmology Clinic, Inc
• Wills Eye Optical
• Wills Eye Optical One, LLC (Wills Eye Wear)
• Wills Eye Optical Two, LLC (WillsEyeWear)
• Barry Wills, D.M.D.

• Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.