Active NPI
Richard Atwood Willson, MD
- Gastroenterology Physician
- Seattle, WA
National Provider Identifier
1881032423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD.00013497
- Practice address
- 815 West Galer Street
Seattle, WA 98119 - Phone
- (206) 284-5971
- NPI assigned
- Jun 5, 2013
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD.00013497 | WA | Primary |
Addresses
Primary practice location
815 West Galer Street
Seattle, WA 98119
Mailing address
815 West Galer Street
Seattle, WA 98119
Phone (206) 284-5971
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.00013497 | WA | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370390400000",
"number": "1881032423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 WEST GALER STREET",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98119",
"telephone_number": "206-284-5971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 WEST GALER STREET",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98119",
"telephone_number": "206-284-5971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLSON",
"first_name": "RICHARD",
"middle_name": "ATWOOD",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-05",
"last_updated": "2013-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "WA",
"license": "MD.00013497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.