DR. PAUL L WILLIS (NPI# 1184614703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184614703 |
| Entity Type | Individual |
| Full Name | DR. PAUL L WILLIS |
| Credential | MD |
| Practice Address |
60 Hospital Rd Leominster MA 01453-2205 |
| Practice Telephone | 9784662994 |
| Practice Fax Number | 9784662993 |
| Mailing Telephone | 9784662994 |
| Mailing Fax Number | 9784662993 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 151956 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3167453 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376830653 | Paul William Willis | Pharmacist | 807 S. Main St., Yreka, CA 96097 | 2011-07-07 |
| 1114959376 | Paul D Willis | Technician/Technologist | 3131 Pio Nono Ave, Macon, GA 31206-3027 | 2006-07-07 |
| 1518909761 | Paul William Willis Jr. | Family Medicine | 1305 W. Arrow Hwy., Ste.106, San Dimas, CA 91773 | 2006-06-12 |
| 1780230615 | Paul Willis | Behavior Technician | 912 Ne Kelly Ave, Gresham, OR 97030-5629 | 2019-08-15 |
| 1649603390 | Paul S Willis | Hospitalist | 13652 Cantara St, Panorama City, CA 91402-5423 | 2013-08-16 |
| 1235408477 | Paul V Willis | Physical Medicine & Rehabilitation | 750 E Walker St Ste A, Orland, CA 95963-2222 | 2011-12-16 |
| 1699864322 | Paul Jay Willis | Dentist | 4709 Golf Rd, #1005, Skokie, IL 60076-1231 | 2006-10-12 |
| 1083718217 | Paul S Willis | Psychiatry & Neurology | 317 W Pueblo St, Santa Barbara, CA 93105-4355 | 2006-09-08 |
| 1104835180 | Paul M Willis | Specialist | 27 Heckel Rd, Suite 213, Mc Kees Rocks, PA 15136-1616 | 2006-08-07 |
| Street Address |
60 HOSPITAL RD |
| City | LEOMINSTER |
| State | MA |
| Zip Code | 01453-2205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720083892 | Matthew G Masiello | Pediatrics | 60 Hospital Rd, Leominster, MA 01453-2205 | 2005-06-16 |
| 1851911150 | Terese Andrea Holm | Nurse Practitioner | 60 Hospital Rd, Leominster, MA 01453-2205 | 2020-04-16 |
| 1770115891 | Ashley Jennifer Goddard | Nurse Practitioner | 60 Hospital Rd, Leominster, MA 01453-2205 | 2020-02-06 |
| 1265076392 | Laura Villani | Dietitian, Registered | 60 Hospital Rd, Leominster, MA 01453-2205 | 2019-11-01 |
| 1841852811 | Umass Memorial Healthalliance Clinton Hospital Inc | Dietitian, Registered | 60 Hospital Rd, Leominster, MA 01453-2205 | 2019-07-01 |
| 1942860317 | Rachael Sharpe | Dietitian, Registered | 60 Hospital Rd, Leominster, MA 01453-2205 | 2019-06-18 |
| 1891359444 | Anya Plucinsky | Dietitian, Registered | 60 Hospital Rd, Leominster, MA 01453-2205 | 2019-04-30 |
| 1386126985 | Janet Margaret Bombaci | Social Worker | 60 Hospital Rd, Leominster, MA 01453-2205 | 2018-08-30 |
| 1942709852 | Brian P Houle | Nurse Practitioner | 60 Hospital Rd, Leominster, MA 01453-2205 | 2018-02-06 |
| 1205345030 | Nancy M Bisceglia | Social Worker | 60 Hospital Rd, Leominster, MA 01453-2205 | 2017-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100230 | Karen Elizabeth Sullivan | Social Worker | 19n Meadowpond Drive, Leominster, MA 01453 | 2020-09-29 |
| 1538705553 | Zazrak, Incorporated | Behavior Technician | 435 Leominster Street Suite 335, Leominster, MA 01453 | 2019-11-25 |
| 1003473547 | Ana Gabriela Rosa | Massage Therapist | 301 6th Sreet, Leominster, MA 01453 | 2019-05-21 |
| 1962973719 | Sandra Trippi-leroux | Social Worker | 122 Granite Street Leominster High School, Leominster, MA 01453 | 2018-12-05 |
| 1134623887 | A&r Home Care LLC | Home Health | 40 Albert Drive, Unit A1, Leominster, MA 01453 | 2018-03-19 |
| 1619326048 | Icon Medical Solutions Corp | Durable Medical Equipment & Medical Supplies | 40 Spruce St Ste 202, Leominster, MA 01453 | 2016-06-07 |
| 1194113837 | Amy Tansey | Pharmacist | 927 Merriam Ave, Leominster, MA 01453 | 2015-01-05 |
| 1730506429 | Mitchel Pyles | Social Worker | Community Healthlink, Inc., 40 Spruce Street, Leominster, MA 01453 | 2014-03-20 |
| 1013341585 | Denise R Tufts | Counselor | 142 Richard Rd, Leominster, MA 01453 | 2013-09-02 |
| 1699010421 | Wendy Ann Leblanc | Homeopath | 1123 Central S, Leominster, MA 01453 | 2012-12-05 |
| Find all providers in zip 01453 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033636543 | Medexpress Urgent Care, PC - Massachusetts | Emergency Medicine | 241 N Main St, Leominster, MA 01453-2219 | 2017-08-25 |
| 1306264395 | Vincent L. Kan | Emergency Medicine | 60 Hospital Rd., Leominster, MA 01453 | 2014-04-07 |
| 1669766135 | Myles Jen Kin | Emergency Medicine | 60 Hospital Rd, Wachusett Emergency Physicians, Leominster, MA 01453 | 2011-06-02 |
| 1710163944 | Michael F Larochelle | Emergency Medicine | 60 Hospital Rd, Wachusett Emergency Physicians, Leominster, MA 01453 | 2008-01-17 |
| 1679771588 | Roberto Larios | Emergency Medicine | 60 Hospital Road, Leominster, MA 01453-2205 | 2007-07-03 |
| 1003961988 | Lillian Rich | Emergency Medicine | 60 Hospital Rd, Wachusett Emergency Physicians, Leominster, MA 01453-2205 | 2007-01-24 |
| 1376553693 | Wachusett Emergency Physicians, PC | Emergency Medicine | 60 Hospital Rd, Leominster, MA 01453-2205 | 2006-08-09 |
| 1679530182 | James J Rifino Jr. | Emergency Medicine | 60 Hospital Rd, Leominster, MA 01453 | 2006-04-27 |
| 1134180912 | John B Latimer | Emergency Medicine | 60 Hospital Rd, Wachusett Emergency Physicians PC, Leominster, MA 01453 | 2006-03-31 |
| 1730161308 | James J. Sullivan | Emergency Medicine | 60 Hospital Rd, Umass Memorial Health Alliance Clinton Hospital, Leominster, MA 01453 | 2005-11-18 |
| Find all providers in LEOMINSTER | ||||
| City | LEOMINSTER |
| Zip Code | 01453 |
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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.