DR. MICHAEL WILLIAM WILLETT (NPI# 1134182348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134182348 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL WILLIAM WILLETT |
| Credential | M.D. |
| Practice Address |
155 Diggles Street Etna CA 96027 |
| Practice Telephone | 5304675393 |
| Mailing Telephone | 5304675393 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2010-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G56481 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G564810 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083259543 | Michael Willett | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-11-08 |
| 1245381573 | Michael Allen Willett | Psychologist | 725 S Adams Rd, Suite 238, Birmingham, MI 48009-6902 | 2007-01-15 |
| 1225042435 | Michael J Willett | Physical Therapist | 9051 Tamiami Trl N, Suite 104, Naples, FL 34108-2596 | 2006-07-27 |
| Street Address |
155 DIGGLES STREET |
| City | ETNA |
| State | CA |
| Zip Code | 96027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699163329 | Noah D Perlman | Chiropractor | 311 Collier Way, Suite 5, Etna, CA 96027 | 2015-01-05 |
| 1336330646 | Siskiyou Hospital Inc | Clinic/Center | 8 Commercial Street, Etna, CA 96027 | 2007-08-05 |
| 1124024070 | City of Etna | Ambulance | 442 Main St, Etna, CA 96027 | 2005-06-24 |
| 1538635065 | Savannah Lea Kenny | Family Medicine | 8 Commercial Street, Etna, CA 96027 | 2018-10-23 |
| 1588996060 | Kasia Nicole Mannix | Registered Nurse | 8 Commercial Street, Etna, CA 96027 | 2010-02-08 |
| 1093890956 | Lynda Pollard | Pharmacy Technician | 511 Main Street, Etna, CA 96027 | 2006-10-26 |
| 1174608582 | Gary Dean Pollard | Pharmacist | 511 Main Street, Etna, CA 96027 | 2006-10-25 |
| 1891876926 | Donald Dean Murphy | Pharmacist | 511 Main Street, Etna, CA 96027 | 2006-10-17 |
| 1780759779 | Lloyd Benton Coatney | Dentist | 450 Pig Alley, Etna, CA 96027-0160 | 2006-11-22 |
| 1558442681 | Scott Valley Pharmacy Inc | Pharmacy | 511 Main Street, Etna, CA 96027-0610 | 2006-10-17 |
| Find all providers in zip 96027 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538635065 | Savannah Lea Kenny | Family Medicine | 8 Commercial Street, Etna, CA 96027 | 2018-10-23 |
| 1508178427 | Lakshmi Kalyani Kodey | Family Medicine | 30 High St, Etna, PA 15223-1954 | 2010-07-08 |
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| 1245838879 | Lalaine Talagtag Smith | Family Medicine | 919 Mariner Dr Apt C, Mountain View, CA 94043-3372 | 2020-10-15 |
| 1417554023 | Hameed A. Khan, M.d., Inc. | Family Medicine | 3655 Lomita Blvd Ste 421, Torrance, CA 90505-1934 | 2020-10-06 |
| 1073120085 | Garrison Family Medical Group Inc | Family Medicine | 41210 11th St W Ste C, Palmdale, CA 93551-1447 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.