L WILLIS ROBERTS MD GENERAL SURGERY LLC (NPI# 1447676739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447676739 |
Entity Type | Organization |
Organization Name | L WILLIS ROBERTS MD GENERAL SURGERY LLC |
Other Organization Name | GENERAL SURGERY |
Practice Address |
75 Springfield Rd Suite 3 Westfield MA 01085-1790 |
Practice Telephone | 4135722973 |
Practice Fax Number | 4135722975 |
Mailing Telephone | 4135722973 |
Mailing Fax Number | 4135722975 |
Enumeration Date | 2014-03-11 |
Last Update Date | 2014-03-25 |
Authorized Official Name | DR. LORAN WILLIS ROBERTS (OWNER) |
Authorized Official Telephone | 4135722973 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 80758 | MA | Other Service Providers |
Other Name | Type Code |
---|---|
General Surgery | Doing Business As Name - Organization |
Street Address |
75 SPRINGFIELD RD SUITE 3 |
City | WESTFIELD |
State | MA |
Zip Code | 01085-1790 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235139130 | Marybeth S Kelly | Physician Assistant | 75 Springfield Rd, Suite 1 Family Medicine Assoc, Westfield, MA 01085 | 2005-07-21 |
1780235275 | Dg Physical Therapy, P.C. | Clinic/Center | 75 Springfield Rd, Suite 9, 2nd Floor, Westfield, MA 01085 | 2019-09-25 |
1588030548 | Steven Vien | Physical Therapist | 75 Springfield Rd, Westfield, MA 01085-1790 | 2015-08-13 |
1487906988 | Svetlana Puzankov | Physician Assistant | 75 Springfield Rd, Suite 1, Westfield, MA 01085-1790 | 2012-10-08 |
1396024246 | Alexis Gorman | Nurse Practitioner | 75 Springfield Rd, Suite 1, Westfield, MA 01085-1790 | 2011-08-10 |
1023153640 | Family Medicine Associates | Family Medicine | 75 Springfield Rd, Suite 1, Westfield, MA 01085-1832 | 2007-02-21 |
1851405914 | Theodore John Krawiec | Ophthalmology | 75 Springfield Rd, Suite 4, Westfield, MA 01085 | 2006-08-18 |
1215989876 | Lance David Reynolds | Internal Medicine | 75 Springfield Rd, Suite 1, Westfield, MA 01085-1832 | 2006-05-16 |
1477504421 | Gloria Lorraine Stewart | Nurse Practitioner | 75 Springfield Rd, Suite 1, Westfield, MA 01085-1832 | 2006-05-15 |
1326099094 | George E Reynolds | Family Medicine | 75 Springfield Rd, Suite 1, Westfield, MA 01085-1832 | 2006-05-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801371950 | Gaetana Maria Aliotta | Social Worker | 164 Loomis Ridge, Westfield, MA 01085 | 2018-09-25 |
1437631363 | Jill Colleen Adams | Social Worker | 985 Granville Road, Westfield, MA 01085 | 2018-09-06 |
1447778691 | Emily Marie Badger | Counselor | 555 Russell Rd, Westfield, MA 01085 | 2017-09-07 |
1508381385 | Erin Humphrey | Assistant Behavior Analyst | 98 West Silver Street, Westfield, MA 01085 | 2017-08-14 |
1871954263 | Jamie Lynn Thomas | Developmental Therapist | 209 Root Road, Westfield, MA 01085 | 2016-03-11 |
1093064412 | Health Imperatives, Inc. | Clinic/Center | 51 East Mountain Road, Westfield, MA 01085 | 2012-08-30 |
1588956767 | Ruth A Norman | Social Worker | 1029 North Rd Ste 22, Westfield, MA 01085 | 2011-05-06 |
1881904449 | Community Physicians PC | Counselor | 125 North Elm Street, Westfield, MA 01085 | 2010-10-18 |
1952624165 | Heather Ann Siswick | Social Worker | 77 Mill Street, Westfield, MA 01085 | 2010-03-03 |
1659606531 | Corbett Consulting LLC | Home Health | 57 Franklin Street, Westfield, MA 01085 | 2009-10-09 |
Find all providers in zip 01085 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548628217 | Eugenie Gigi Orefice-tilocca | Specialist | 75 N Cottage Pl, Westfield, NJ 07090-2818 | 2016-02-09 |
1104135458 | Walter E Chavez Jr. | Specialist | 918 South Ave W, Westfield, NJ 07090-1415 | 2010-10-05 |
1881728582 | Laurie M Bregitzer | Specialist | 4480 Whitney Rd, Westfield, IN 46062-6814 | 2007-03-15 |
1013074434 | Robert Anthony Panza | Specialist | 566 Westfield Ave, Westfield, NJ 07090-3312 | 2007-01-03 |
1558324103 | Martin R. Curlik M.d., Pa | Specialist | 138 S Euclid Ave, Westfield, NJ 07090-2130 | 2006-04-06 |
1235109059 | Maria E Alexianu | Specialist | 507 Westfield Ave, Westfield, NJ 07090-3300 | 2006-01-24 |
1801875067 | Ralph Edward Sweeney Jr. | Specialist | 1122 South Ave W, Westfield, NJ 07090-1419 | 2006-01-15 |
1083601033 | Malcolm Schwartz | Specialist | 275 Orchard St, Westfield, NJ 07090-3133 | 2005-10-04 |
1053314005 | Clifford M Sales | Specialist | 433 Central Ave, Westfield, NJ 07090-2520 | 2005-05-23 |
1962747501 | Julia M Diddell | Specialist | 10 Prospect St, C/o Ortho Care, Inc, Westfield, NJ 07090-2114 | 2012-12-09 |
Find all providers in WESTFIELD |
Please comment or provide details below to improve the information on L WILLIS ROBERTS MD GENERAL SURGERY LLC.
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.