DR. HENRY DONALD WILLS (NPI# 1790772168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790772168 |
| Entity Type | Individual |
| Full Name | DR. HENRY DONALD WILLS |
| Credential | MD |
| Practice Address |
1417 8th Ave Bethlehem PA 18018-2256 |
| Mailing Address |
801 Ostrum St Bethlehem PA 18015-1000 |
| Practice Telephone | 4845265210 |
| Mailing Telephone | 4845264000 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2020-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD018030E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNISON | 138182 | 01 | |
| AMERIHEALTH MERCY | 20021234 | 01 | |
| CBC | 50049425 | 01 | |
| IBC | 0040485000 | 01 | |
| HIGHMARK BLUE SHIELD | 149816 | 01 | |
| PA | 0007599280006 | 05 | |
| GATEWAY HEALTH PLAN | 1503668 | 01 |
| Street Address |
1417 8TH AVE |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18018-2256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407486863 | Erika B Velho | Speech-Language Pathologist | 1417 8th Ave, Bethlehem, PA 18018-2256 | 2020-01-24 |
| 1578102034 | Alyssa Meredith Bussell | Nurse Practitioner | 1417 8th Ave, Bethlehem, PA 18018-2256 | 2020-01-02 |
| 1023654639 | Molly Elizabeth Pantone | Occupational Therapist | 1417 8th Ave, Bethlehem, PA 18018-2256 | 2019-11-19 |
| 1356813356 | Maranda P Mcgovern | Physician Assistant | 1417 8th Ave, Bethlehem, PA 18018-2256 | 2019-01-02 |
| 1962987743 | Diana Hassan | Physician Assistant | 1417 8th Ave, Bethlehem, PA 18018-2256 | 2018-09-27 |
| 1093220493 | Julia Kathryn Corsi | Occupational Therapist | 1417 8th Ave, Bethlehem, PA 18018-2256 | 2017-12-06 |
| 1619488715 | Stephanie La | Physical Therapist | 1417 8th Ave, Bethlehem, PA 18018-2256 | 2017-10-16 |
| 1932650256 | Andrew Mergel | Physician Assistant | 1417 8th Ave, Bethlehem, PA 18018-2256 | 2016-10-21 |
| 1578016960 | Kathleen Childs | Clinical Neuropsychologist | 1417 8th Ave, Bethlehem, PA 18018-2256 | 2016-08-02 |
| 1699146662 | Patricia Anne Koba | Nurse Practitioner | 1417 8th Ave, Bethlehem, PA 18018-2256 | 2015-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093373292 | Jade Madison Hennessy | Specialist/Technologist | Moravian College, 1200 Main Street, Bethlehem, PA 18018 | 2019-06-03 |
| 1780106179 | Courtney Jane Kruscavage | Specialist/Technologist | 641 Dellwood Street, Bethlehem, PA 18018 | 2017-07-07 |
| 1205357936 | Balanced Body Therapeutic Massage, LLC | Massage Therapist | 227 W Broad St Ste 102, Bethlehem, PA 18018 | 2017-07-03 |
| 1033567599 | Jessamine Martin | Counselor | 1 East Broad Street, Suite 510, Bethlehem, PA 18018 | 2016-05-25 |
| 1841650041 | Akhi Saha | Internal Medicine | 325 W Broad St Fl 1, Bethlehem, PA 18018 | 2016-03-01 |
| 1063804193 | Paul Minh Le | Internal Medicine | 800 Eaton Ave Ste B, Bethlehem, PA 18018 | 2015-02-26 |
| 1578962841 | Elizabeth Veronica Weiss Iobst | Counselor | 1754 W. Broad St., Bethlehem, PA 18018 | 2014-08-22 |
| 1255771739 | Inner Resources Counseling Inc | Counselor | 807 West Broad St, Bethlehem, PA 18018 | 2013-06-28 |
| 1437404878 | St Luke Hospital | General Acute Care Hospital | 1956 C Allwood Dr., Bethlehem, PA 18018 | 2012-07-23 |
| 1275802944 | St. Luke's Physician Group, Inc | Ophthalmology | 800 Eaton Avenue, Suite 101, Bethlehem, PA 18018 | 2011-12-23 |
| Find all providers in zip 18018 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710925102 | Lizbeth S De Padua | Psychiatry & Neurology | 1417 Eighth Avenue, Bethlehem, PA 18018 | 2006-06-04 |
| 1649236704 | Sharon A Beckhard | Psychiatry & Neurology | 2045 Westgate Dr Ste 203, Bethlehem, PA 18017 | 2006-04-25 |
| 1336784818 | Stc Pediatrics LLC | Psychiatry & Neurology | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2019-11-08 |
| 1225470537 | Julia M Kerrigan | Psychiatry & Neurology | 1417 8th Ave, Bethlehem, PA 18018-2256 | 2013-07-28 |
| 1417396276 | Sruthi Devarinti | Psychiatry & Neurology | 1417 Eighth Avenue, Bethlehem, PA 18018-4720 | 2013-06-14 |
| 1558706036 | Richard W Leung | Psychiatry & Neurology | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2013-05-09 |
| 1477897940 | Chad Edward Saunders | Psychiatry & Neurology | 1417 8th Ave, Bethlehem, PA 18018-2256 | 2012-11-21 |
| 1053675207 | Itay Keshet | Psychiatry & Neurology | 2545 Schoenersville Rd, Bethlehem, PA 18017-7300 | 2012-07-02 |
| 1376844969 | Michel Amedeo Ritenuti | Psychiatry & Neurology | 1417 8th Ave, Bethlehem, PA 18018-2256 | 2010-11-12 |
| 1154642338 | Daniel J Ackerman | Psychiatry & Neurology | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2010-06-22 |
| Find all providers in BETHLEHEM | ||||
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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.