Active NPI
Christopher B Willoughby, MD
- Emergency Medicine Physician
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0101245842
- Practice address
- Lee St FL 1
Charlottesville, VA 22908-0001 - Phone
- (434) 924-2361
- Fax
- (434) 924-2877
- NPI assigned
- May 31, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101245842 | VA | Primary |
| Emergency Medicine Physician | 207P00000X | 57010630 | OH | |
| Emergency Medicine Physician | 207P00000X | 4301097903 | MI |
Addresses
Primary practice location
Lee St FL 1
Charlottesville, VA 22908-0001
Mailing address
PO Box 9007
Charlottesville, VA 22906-9007
Phone (434) 295-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902007453 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Tulane University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2000 Canal St
New Orleans, LA 70112-3018
Phone (504) 702-3000
Hospital & facility affiliations
- University Medical Center New Orleans
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57010630 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana State University School of Medicine in New Orleans Faculty G | Current | Accepting new patients | |
| Louisiana State University School of Medicine in New Orleans Faculty G | Current | Accepting new patients | |
| Louisiana State University School of Medicine in New Orleans Faculty | Emergency Medicine | Current | Accepting new patients |
| Louisiana State University School of Medicine in New Orleans Faculty G | Current | Accepting new patients | |
| Spectrum Health Hospitals | Current | Accepting new patients | |
| Van Meter Emergency Physicians Inc. Apmc | Emergency Medicine | Past | Accepting new patients |
| Keith Van Meter & Associates | Past | Accepting new patients | |
| Van Meter MD & Associates | Past | Accepting new patients | |
| University of Virginia Physicians Group | Past | Accepting new patients | |
| Skyline Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
Locations
95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800
2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741
1400 Poydras St
New Orleans, LA 70112
Phone (504) 903-1991
2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287
2021 Perdido St
New Orleans, LA 70112
Phone (504) 412-1800
100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242
100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680
Organizations & group practices 10
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.
-
- Emergency Medicine Physician
- New Orleans, LA
- NPI 1275984973
-
- Multi-Specialty Clinic/Center
- New Orleans, LA
- NPI 1477582526
-
- Hospitalist Physician
- Grand Rapids, MI
- NPI 1558407189
-
- Durable Medical Equipment & Medical Supplies
- Kenner, LA
- NPI 1316417629
-
- Clinical Medical Laboratory
- New Orleans, LA
- NPI 1508066283
-
- Emergency Medicine Physician
- Culpeper, VA
- NPI 1669428033
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
-
- Multi-Specialty Clinic/Center
- Bay St. Louis, MS
- NPI 1093811051
-
- Emergency Medicine Physician
- Covington, LA
- NPI 1649410697
-
- Multi-Specialty Clinic/Center
- New Orleans, LA
- NPI 1275638272
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1568403111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311897600000",
"number": "1902007453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9007",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229069007",
"telephone_number": "434-295-1000",
"fax_number": "434-972-4266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LEE ST FL 1",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229080001",
"telephone_number": "434-924-2361",
"fax_number": "434-924-2877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLOUGHBY",
"first_name": "CHRISTOPHER",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-31",
"last_updated": "2011-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101245842",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "57010630",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301097903",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1902007453",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; 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.