Active NPI
Willard E. Fee Jr., M.D.
- Otolaryngology Physician
- Redwood City, CA
National Provider Identifier
1659436392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- G019012
- Practice address
- 3705 Brandy Rock Way
Redwood City, CA 94061-1900 - Phone
- (650) 787-5294
- Fax
- (650) 780-9369
- NPI assigned
- Dec 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | G019012 | CA | Primary |
Addresses
Primary practice location
3705 Brandy Rock Way
Redwood City, CA 94061-1900
Mailing address
3705 Brandy Rock Way
Redwood City, CA 94061-1900
Phone (650) 787-5294
Other names 1
- Prof. Willard E. Fee Jr.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G019012 | CA | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367798400000",
"number": "1659436392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3705 BRANDY ROCK WAY",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940611900",
"telephone_number": "650-787-5294",
"fax_number": "650-780-9369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3705 BRANDY ROCK WAY",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940611900",
"telephone_number": "650-787-5294",
"fax_number": "650-780-9369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEE",
"first_name": "WILLARD",
"middle_name": "E.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-22",
"last_updated": "2013-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "G019012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WILLARD",
"last_name": "FEE",
"middle_name": "E.",
"prefix": "PROF.",
"suffix": "JR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.