NPIMap

Individual provider Active NPI

Andrew A Willet, MD

  • Family Medicine Physician
  • Dover, DE
National Provider Identifier
1922062884
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C1-0003329 Issued in DE
Practice address
230 Beiser Blvd
Suite 200
Dover, DE 19904-7793
Phone
(302) 735-1880
Fax
(302) 735-1884
NPI assigned
Apr 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C1-0003329 DE Primary

Addresses

Primary practice location

230 Beiser Blvd
Suite 200
Dover, DE 19904-7793

Mailing address

230 Beiser Blvd
Suite 200
Dover, DE 19904-7793
Phone (302) 735-1880

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1145145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1922062884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 BEISER BLVD",
            "address_2": "SUITE 200",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199047793",
            "telephone_number": "302-735-1880",
            "fax_number": "302-735-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 BEISER BLVD",
            "address_2": "SUITE 200",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199047793",
            "telephone_number": "302-735-1880",
            "fax_number": "302-735-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLET",
        "first_name": "ANDREW",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-16",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1-0003329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.