Active NPI
Richard Willis
- Attendant Care Provider
- Springfield, OH
National Provider Identifier
1922495084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- License
- 08283
- Practice address
- 404 E McCreight Ave
Springfield, OH 45503-3653 - Phone
- (937) 399-8311
- NPI assigned
- Apr 16, 2015
- 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 |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | 08283 | OH | Primary |
Addresses
Primary practice location
404 E McCreight Ave
Springfield, OH 45503-3653
Mailing address
6740 Spokane Dr
Huber Heights, OH 45424-2246
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08283 | OH | MD | Attendant Care Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429142400000",
"number": "1922495084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6740 SPOKANE DR",
"city": "HUBER HEIGHTS",
"state": "OH",
"postal_code": "454242246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 E MCCREIGHT AVE",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455033653",
"telephone_number": "937-399-8311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIS",
"first_name": "RICHARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-16",
"last_updated": "2015-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "OH",
"license": "08283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.