Active NPI
Edward Daniel Willett
- Diagnostic Radiology Physician
- Opelousas, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD014114
- 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, 2011
- 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 |
|---|---|---|---|---|
| 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, DC
Enrollment records 4
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Diagnostic Radiology Physician
- Zachary, LA
- NPI 1295788040
I20040413001160, I20061121000383, I20250521000418, I20250521000941
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014114 | LA | MD | Specialist |
| MD014114 | LA | MD | Diagnostic Radiology Physician |
| 37912 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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 | Past | 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.
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Baton Rouge, LA
- NPI 1942393699
-
- Diagnostic Radiology Physician
- Baton Rouge, LA
- NPI 1538244652
-
dba Digital Diagnostic Center
- Diagnostic Radiology Physician
- Denham Springs, LA
- NPI 1942587704
-
- Radiology Clinic/Center
- Grand Coteau, LA
- NPI 1598791188
-
- Diagnostic Radiology Physician
- Baton Rouge, LA
- NPI 1184897787
-
- Diagnostic Radiology Physician
- Opelousas, LA
- NPI 1245285535
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.