Active NPI
William H Willis VII, MD
- Cardiovascular Disease Physician
- Orlando, FL
National Provider Identifier
1790782423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME0055813
- Practice address
- 1613 N Mills Ave
Orlando, FL 32803-1849 - Phone
- (407) 894-4474
- Fax
- (407) 894-7136
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ME0055813 | FL | Primary |
Addresses
Primary practice location
1613 N Mills Ave
Orlando, FL 32803-1849
Mailing address
1613 N Mills Ave
Orlando, FL 32803-1849
Phone (407) 894-4474
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09260 | Other | FL | BCBS |
| 1570933 | Other | FL | CIGNA |
| 207840 | Other | FL | AVMED |
| 4129429 | Other | FL | AETNA |
| 060019789 | Other | FL | RRR |
| 10959 | Other | FL | FHHS |
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 |
|---|---|---|---|
| ME0055813 | FL | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279152000000",
"number": "1790782423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1613 N MILLS AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328031849",
"telephone_number": "407-894-4474",
"fax_number": "407-894-7136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1613 N MILLS AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328031849",
"telephone_number": "407-894-4474",
"fax_number": "407-894-7136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIS",
"first_name": "WILLIAM",
"middle_name": "H",
"name_suffix": "VII",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2010-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME0055813",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "09260",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1570933",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "207840",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4129429",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRR",
"identifier": "060019789",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FHHS",
"identifier": "10959",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.