Individual provider Active NPI

Paul A Willette, DO

  • Emergency Medicine Physician
  • Columbus, OH
National Provider Identifier
1619986031
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34-00-5427-W Issued in OH
Practice address
111 S Grant Ave
Columbus, OH 43215-4701
Phone
(614) 566-9268
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34-00-5427-W OH Primary

Addresses

Primary practice location

111 S Grant Ave
Columbus, OH 43215-4701

Mailing address

14050 NW 14TH St
Suite 190
Sunrise, FL 33323-2865
Phone (800) 424-3672

Other identifiers 1

IdentifierTypeStateIssuer
0897641MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20040129001108 OH Practitioner - Emergency Medicine 5193628899 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Physicians of Franklin County, LTDGroup PAC ID 6002714383, 6 clinicians
Emergency Medicine Physicians of Champaign County LTDGroup PAC ID 6204074529, 7 clinicians

Practice addresses (Care Compare)

5100 W Broad St
Columbus, OH 43228-1607
Phone (614) 544-1810

904 Scioto St
Urbana, OH 43078-2200
Phone (937) 523-1400

Hospital & facility affiliations

  • Doctors Hospital Hospital, Columbus, OH, CCN 360152
  • Barnesville Hospital Association, Inc Hospital, Barnesville, OH, CCN 361321

Merit-based Incentive Payment System (MIPS)

Final score
95.95 of 100Reported as group
Quality
87.44
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
94.73
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Barnesville Hospital Association, Inc. CurrentSince Mar 1, 2026 Accepting new patients
Emergency Medicine Physicians of Champaign County LTD Emergency Medicine CurrentSince Apr 1, 2016 Accepting new patients
Hles of Ohio, Inc. Emergency Medicine Current Accepting new patients
Emergency Medicine Physicians of Franklin County, LTD Emergency Medicine CurrentSince May 1, 2016 Accepting new patients
Hles of Ohio Inc Emergency Medicine CurrentSince Mar 1, 2017 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Apr 1, 2016 Accepting new patients
Hles of Ohio Inc Emergency Medicine CurrentSince Mar 1, 2017 Accepting new patients
Barnesville Hospital Association, Inc. CurrentSince Mar 1, 2026 Accepting new patients
Harrison Community Hospital, Inc. CurrentSince Mar 1, 2026 Accepting new patients
Belmont County Health Services Inc CurrentSince Mar 1, 2026 Accepting new patients
Emergency Medicine Physicians of Medina County, LTD Emergency Medicine Past Accepting new patients
Mary Rutan Hospital Past Accepting new patients
Emergency Medicine Physicians of Richland County, LTD Emergency Medicine Past Accepting new patients

Locations

639 W Main St
Barnesville, OH 43713
Phone (740) 425-3941

205 E Palmer Rd
Bellefontaine, OH 43311
Phone (937) 592-4015

951 E Market St
Cadiz, OH 43907
Phone (740) 942-4631

1132 Hunter Ave
Columbus, OH 43201
Phone (614) 291-8772

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

5100 W Broad St
New Rome, OH 43228
Phone (614) 544-1000

100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000

904 Scioto St
Urbana, OH 43078
Phone (937) 293-0136

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619986031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14050 NW 14TH ST",
            "address_2": "SUITE 190",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232865",
            "telephone_number": "800-424-3672",
            "fax_number": "954-377-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S GRANT AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154701",
            "telephone_number": "614-566-9268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLETTE",
        "first_name": "PAUL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34-00-5427-W",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0897641",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.