Robert E Willett Jr., M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD.9525 Issued in AL

Practice address

6701 Airport Blvd Ste B222
Mobile, AL 36608-6700

Phone

(251) 663-0663

Fax

(251) 663-6468

NPI assigned

Nov 8, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: robert.willett.1@9582.direct.athenahealth.com

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.

• Alabama Providence Healthcare Services

  dba Providence Medical Group

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1245669514
  Medicare reassignment NPD
• Seton Medical Management Inc.

  • Radiation Oncology Physician
  • Mobile, AL
  • NPI 1841629946

  Surgery

  Medicare reassignment NPD
• Alabama Providence Healthcare Services

  dba Ascension Providence Diabetes Management Program

  • Endocrinology, Diabetes & Metabolism Physician
  • Mobile, AL
  • NPI 1609446087
  NPD
• Providence Healthcare Services

  dba Providence Medical Group

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1508878083
  NPD
• Seton Medical Management Inc.

  • Radiology Clinic/Center
  • Mobile, AL
  • NPI 1205265303
  NPD

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1760463756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD STE B222",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086700",
            "telephone_number": "251-663-0663",
            "fax_number": "251-663-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD STE B222",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086700",
            "telephone_number": "251-663-0663",
            "fax_number": "251-663-6468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6801 Airport Blvd",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366083709",
            "country_code": "US",
            "telephone_number": "251-266-3580",
            "fax_number": "251-266-3584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLETT",
        "first_name": "ROBERT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "9525",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "MD.9525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1710048",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS RR MEDICARE",
            "identifier": "020000385",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS ALABAMA",
            "identifier": "051007227",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID OF MISSISSIPPI",
            "identifier": "00018702",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Trent Wilkes, M.D.
• Deborah M. Wilkins, ST
• Maryann H Wilkins
• Eleanor Katharine Wilkinson
• Aerial Willett
• Robert McCulloch Willett
• William G Eastburn DMD Inc
• Alexander Alan Williams
• Alexandria Elizabeth Williams
• Alexis Marie Williams

• Surgery Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.

Verify at the official NPI Registry.