Dean Norman Willis, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

22374 Issued in CT

Practice address

50 Fair Harbour PL
Suite 2-C
New London, CT 06320-4731

Phone

(860) 443-3147

Fax

(860) 443-0087

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• General Surgical Associates of N.L., P.C.

  • Surgery Physician
  • New London, CT
  • NPI 1952495087
  NPD Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1598859746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 FAIR HARBOUR PL",
            "address_2": "SUITE 2-C",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204731",
            "telephone_number": "860-443-3147",
            "fax_number": "860-443-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 FAIR HARBOUR PL",
            "address_2": "SUITE 2-C",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204731",
            "telephone_number": "860-443-3147",
            "fax_number": "860-443-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "DEAN",
        "middle_name": "NORMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "22374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001223742",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Lee Wilks, MSW
• Judith G Williams, LMFT
• Karen A Williams, APRN
• Sandra Lynn Williams, RN
• Ian Williamson, MA, BCBA
• Tayla Jean Willson, PA-C
• Dania Alexa Wilson, NP
• Rebecca Wine, M.A. CCC-SLP
• Molly Winship, LCSW
• Paul Winston, BS

• Surgery Physician in New London, CT
• Providers in New London, CT by specialty
• Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.