Individual provider Active NPI

Edward Daniel Willett

  • Diagnostic Radiology Physician
  • Opelousas, LA
National Provider Identifier
1902859762
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD014114 Issued in LA
Practice address
539 East Prudhomme St
Opelousas, LA 70570
Phone
(337) 942-6883
Fax
(337) 942-6883
NPI assigned
May 19, 2006
Last updated
Apr 27, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD014114 LA Primary

Addresses

Primary practice location

539 East Prudhomme St
Opelousas, LA 70570

Mailing address

539 East Prudhomme St
Opelousas, LA 70570
Phone (337) 942-6883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS, MD, DC4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20040413001160 LA Practitioner - Diagnostic Radiology 6002800992 Reassigns benefits to 8 organizations
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
I20061121000383 MS Practitioner - Diagnostic Radiology 6002800992 Reassigns benefits to 2 organizations
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
I20250521000418 MD Practitioner - Diagnostic Radiology 6002800992 Reassigns benefits to 2 organizations
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
I20250521000941 DC Practitioner - Diagnostic Radiology 6002800992 Reassigns benefits to 2 organizations
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
014114LAMDSpecialist
MD014114LAMDDiagnostic Radiology Physician
37912FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Digital Imaging Solutions, LLC Diagnostic Radiology Past Accepting new patients
Ryan N Majoria MD LLC Diagnostic Radiology Past Accepting new patients
Ogh Imaging, LLC PastSince Oct 20, 2024 Accepting new patients
Diagnostic Radiology Consultants, LLP Diagnostic Radiology Past Accepting new patients
St, Landry Radiology Associates, Apmc Diagnostic Radiology Past Accepting new patients
Bluebonnet Imaging Center, LLC Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303862400000",
    "number": "1902859762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 EAST PRUDHOMME ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "70570",
            "telephone_number": "337-942-6883",
            "fax_number": "337-942-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 EAST PRUDHOMME ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "70570",
            "telephone_number": "337-942-6883",
            "fax_number": "337-942-6883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLETT",
        "first_name": "EDWARD",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2011-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "MD014114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.