Active NPI
James Allen Wille, MD
- Allergy & Immunology Physician
- Des Moines, IA
National Provider Identifier
1578590741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 21598
- Practice address
- 1212 Pleasant St
Ste 109
Des Moines, IA 50309 - Phone
- (515) 283-0161
- Fax
- (515) 283-2544
- NPI assigned
- Jun 26, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 21598 | IA | Primary |
Addresses
Primary practice location
1212 Pleasant St
Ste 109
Des Moines, IA 50309
Mailing address
1212 Pleasant St
Ste 109
Des Moines, IA 50309
Phone (515) 283-0161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0237404 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21598 | IA | MD | Pharmacist |
Interoperability endpoints
- james.wille.1@5919.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578590741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 PLEASANT ST",
"address_2": "STE 109",
"city": "DES MOINES",
"state": "IA",
"postal_code": "50309",
"telephone_number": "515-283-0161",
"fax_number": "515-283-2544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 PLEASANT ST",
"address_2": "STE 109",
"city": "DES MOINES",
"state": "IA",
"postal_code": "50309",
"telephone_number": "515-283-0161",
"fax_number": "515-283-2544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLE",
"first_name": "JAMES",
"middle_name": "ALLEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "IA",
"license": "21598",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0237404",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- 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.