Eric Willis

Key facts

NPI

1699693242

Entity type

Individual (NPI type 1)

Primary specialty

Radiation Therapy Radiologic Technologist 2471R0002X

License

213748 (OH)

Practice address

2285 Dietz LN
Zanesville, OH 43701-9592

Phone

(740) 704-3795

NPI assigned

Jul 9, 2026

Sex

Male

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 9, 2026.

{
    "created_epoch": "1783555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1699693242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 DIETZ LN",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437019592",
            "telephone_number": "740-704-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2285 DIETZ LN",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437019592",
            "telephone_number": "740-704-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "ERIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-07-09",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471R0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Radiation Therapy",
            "state": "OH",
            "license": "213748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Zanesville, OH · Radiation Therapy Radiologic Technologist in Ohio