Jonathan Randall Willms, D.O.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

006349 Issued in AZ

Practice address

1863 East Florence Blvd
Casa Grande, AZ 85122

Phone

(520) 836-3446

NPI assigned

Apr 5, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Obstetrics/Gynecology

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sun Life Family Health Center IncGroup PAC ID 9335032275, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Sun Life Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Casa Grande, AZ
  • NPI 1891913166
  Medicare reassignment Care Compare group NPD
• Obhg Arizona, P.C.

  • Obstetrics & Gynecology Physician
  • Chandler, AZ
  • NPI 1902188642
  Medicare reassignment NPD
• Sun Life Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Casa Grande, AZ
  • NPI 1417286568
  NPD
• Sun Life Family Health Center, Inc.

  • Community/Retail Pharmacy
  • Casa Grande, AZ
  • NPI 1275693947
  NPD
• Banner Health

  • General Acute Care Hospital
  • Casa Grande, AZ
  • NPI 1003232976
  NPD (past)
• Banner Health

  • General Acute Care Hospital
  • Chandler, AZ
  • NPI 1972139004
  NPD (past)
• Sun Life Family Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Casa Grande, AZ
  • NPI 1639831985
  NPD (past)
• Sun Life Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Mesa, AZ
  • NPI 1508276940
  NPD (past)
• Sun Life Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Eloy, AZ
  • NPI 1588876429
  NPD (past)
• Sun Life Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Maricopa, AZ
  • NPI 1881073443
  NPD (past)
• Sun Life Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Florence, AZ
  • NPI 1902278252
  NPD (past)

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1891010658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96395",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850726395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1863 EAST FLORENCE BLVD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "85122",
            "telephone_number": "520-836-3446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "580 N Camino Mercado Ste 8",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851225757",
            "country_code": "US",
            "telephone_number": "520-381-0380",
            "fax_number": "520-836-1826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLMS",
        "first_name": "JONATHAN",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-05",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "006349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "ZFQ31815",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Z165308",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "031815",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "031916",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "006349",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "901786",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Willbanks, DDS
• Clara Williams, LPC
• Khiara Brianne Williams, RN
• Marlyn Williams
• Pamela Nicole Williams, FNP-C
• Adrienne Wilson, NMD
• Beyrl E Wilson
• George M Wilson, MSW
• Paul T Wilson, OD
• Jodi Lyn Wilton, M.ED, LISAC, LPC

• Obstetrics & Gynecology Physician in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Obstetrics & Gynecology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.