Active NPI
Ellen M Willard, MD
- Hematology & Oncology Physician
- Pinehurst, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 34205
- Practice address
- 220 Page Rd
Pinehurst, NC 28374 - Phone
- (910) 715-3500
- Fax
- (910) 715-3501
- NPI assigned
- Jun 19, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 34205 | NC | Primary |
Addresses
Primary practice location
220 Page Rd
Pinehurst, NC 28374
Mailing address
205 Page Rd
Pinehurst, NC 28374-8798
Phone (910) 295-5511
Other practice location 1
220 Page Rd
Pinehurst, NC 28374
Phone (910) 715-3500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinehurst Medical Clinic, Inc. | Current | Accepting new patients | |
| Firsthealth of the Carolinas, Inc | Current | Accepting new patients | |
| Pinehurst Medical Clinic, Inc. | Hematology & Oncology | Current | Accepting new patients |
| Firsthealth of the Carolinas, Inc. | Current | Accepting new patients | |
| Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic | Current | Accepting new patients | |
| Firsthealth of the Carolinas, Inc. | Current | Accepting new patients | |
| Pinehurst Medical Clinic, Inc. | Past | Accepting new patients |
Locations
205 Page Rd
Pinehurst, NC 28374
Phone (910) 295-9211
8 Regional Cir
Pinehurst, NC 28374
Phone (910) 215-5555
220 Page Rd
Pinehurst, NC 28374
Phone (910) 715-3500
155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000
251 Campground Rd
West End, NC 27376
Phone (910) 715-6000
Interoperability endpoints
- ewillard13291@firsthealth.direct-ci.net
Organizations & group practices 7
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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- West End, NC
- NPI 1396020202
-
- Rural Health Clinic/Center
- Troy, NC
- NPI 1548276389
-
- Obesity Medicine (Preventive Medicine) Physician
- Pinehurst, NC
- NPI 1316626104
-
- Oncology Clinic/Center
- Pinehurst, NC
- NPI 1417010422
-
- Internal Medicine Physician
- Pinehurst, NC
- NPI 1255388369
Hematology & Oncology
-
- Ambulatory Surgical Clinic/Center
- Pinehurst, NC
- NPI 1356421853
-
- Clinical Medical Laboratory
- Southern Pines, NC
- NPI 1962509372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516752000000",
"number": "1669417820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 PAGE RD",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748798",
"telephone_number": "910-295-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 PAGE RD",
"city": "PINEHURST",
"state": "NC",
"postal_code": "28374",
"telephone_number": "910-715-3500",
"fax_number": "910-715-3501"
}
],
"practiceLocations": [
{
"address_1": "220 Page Rd",
"address_purpose": "LOCATION",
"city": "Pinehurst",
"state": "NC",
"postal_code": "28374",
"country_code": "US",
"telephone_number": "910-715-3500",
"fax_number": "910-715-3501",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLARD",
"first_name": "ELLEN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-19",
"last_updated": "2018-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NC",
"license": "34205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pinehurst, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.