Willie M Pangilinan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

36153 Issued in WI

Practice address

1320 W Clairemont Ave Ste 118
Eau Claire, WI 54701-6027

Phone

(715) 834-1555

Fax

(715) 835-0263

NPI assigned

Nov 18, 2005

Last updated

Jun 21, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498003200000",
    "number": "1639151236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 W CLAIREMONT AVE STE 118",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016027",
            "telephone_number": "715-834-1555",
            "fax_number": "715-835-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 W CLAIREMONT AVE STE 118",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016027",
            "telephone_number": "715-834-1555",
            "fax_number": "715-835-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANGILINAN",
        "first_name": "WILLIE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2017-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "36153-020",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "36153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro Jose Palacios Argueta
• Gabriela Palecek, M.D.
• Rachael A Palecek, LCSW
• Lacie Elizabeth Palmer, LMT
• Sandeep Sharad Pangarkar, D.O.
• Andrew Pankratz, DPM
• Paige T Panzenhagen, LPC-IT
• Renee Lynette Papesh, R.N.
• Alexis Papke, MD
• Paradigm Counseling LLC

• Internal Medicine Physician in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Internal Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2017; 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.