Willard Abe Andes, MD

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

MD61081628 Issued in WA

Practice address

1615 Delaware St
Longview, WA 98632-2367

Phone

(360) 414-7878

Fax

(360) 414-7876

NPI assigned

Jan 30, 2007

Last updated

Jul 21, 2020By 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 4

Addresses

Other identifiers 1

Electronic endpoints 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

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.

• Oncology and Hematology Associates of Southwest Virginia, Inc.

  dba Blue Ridge Cancer Care

  • Hematology & Oncology Physician
  • Roanoke, VA
  • NPI 1487621496
  NPD (past)
• Oncology and Hematology Associates of Southwest Virginia, Inc.

  dba Blue Ridge Cancer Care Specialty Pharmacy

  • Community/Retail Pharmacy
  • Roanoke, VA
  • NPI 1649035106
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1639215932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 S AMERICA ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704333531",
            "telephone_number": "919-610-9606",
            "fax_number": "958-276-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 DELAWARE ST",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322367",
            "telephone_number": "360-414-7878",
            "fax_number": "360-414-7876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 S America St",
            "address_2": "Oncology Clinic",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704333531",
            "country_code": "US",
            "telephone_number": "919-610-9606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDES",
        "first_name": "WILLARD",
        "middle_name": "ABE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD61081628",
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "VA",
            "license": "MD61081628",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "35830",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "WA",
            "license": "MD61081628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "18582",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "wandes@peacehealth.org",
            "affiliation": "N",
            "address_1": "1615 Delaware St",
            "city": "Longview",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986322367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deanna L Anderson, MSW
• Debbie C. Anderson, ARNP
• Jana Michelle Anderson, R.D.H.
• Kurt Demont Anderson, PHARMD
• Lori Anderson, AAC
• Andrew Steidley DMD Ms PLLC (Lower Columbia Endodontics)
• Viorel Angheloiu, MD
• Duane Anglin, M.C.
• Breann Anshutz
• Melissa Anshutz, CNA

• Medical Oncology Physician in Longview, WA
• Providers in Longview, WA by specialty
• Medical Oncology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.