Marianne Wille, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

628 Issued in SC

Practice address

7035 St. Andrews Road
Columbia, SC 29210

Phone

(803) 358-6160

Fax

(803) 407-4101

NPI assigned

Aug 12, 2006

Last updated

Jun 3, 2009By the provider in NPPES

Sex

Female

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

Enrolled in SC

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Lexington County Health Services District, Inc.

  dba Cardiac Rehab Irmo

  • Cardiac Rehabilitation Clinic/Center
  • Columbia, SC
  • NPI 1487023594
  NPD (past)
• Lexington County Health Services District, Inc.

  dba Lexington Medical Center Irmo

  • Radiology Clinic/Center
  • Columbia, SC
  • NPI 1811922164
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243987200000",
    "number": "1609888312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7035 ST. ANDREWS ROAD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29210",
            "telephone_number": "803-358-6160",
            "fax_number": "803-407-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7035 ST. ANDREWS ROAD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29210",
            "telephone_number": "803-358-6160",
            "fax_number": "803-407-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLE",
        "first_name": "MARIANNE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2009-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006282",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Troy Riis Wilkins Jr.
• Denise Jorene Wilkinson
• Elizabeth E. Wilkinson, LMSW
• Jennifer L Willard, LPN
• William Grant Willard IV, MD
• Barney Avron Willens, M.D.
• William Arthur Jones Midlands Health Center
• William H. Crigler, PA
• William J Westerkam
• William Jennings Bryan Dorn Veterans Hospital

• Family Medicine Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.