DR. WILLIAM PHILIP WILLIS (NPI# 1003415324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003415324 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM PHILIP WILLIS |
| Credential | D.C. |
| Practice Address |
1413 Kingsley Ave Orange Park FL 32073-4527 |
| Practice Telephone | 9042643966 |
| Practice Fax Number | 9042787171 |
| Mailing Telephone | 9042643966 |
| Mailing Fax Number | 9042787171 |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH13251 | FL | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063539351 | William E Willis Jr. | Dentist | 108 Babb Drive, Lebanon, TN 37087 | 2007-03-23 |
| 1528150299 | William Lee Willis | Dentist | 2510 Nw Kline St, Roseburg, OR 97470 | 2006-09-29 |
| 1033179478 | William Allen Willis Jr. | Psychiatry & Neurology | 2850 Village Dr, Suite 103, Fayetteville, NC 28304-3864 | 2006-03-27 |
| 1134695588 | William Christopher Willis Jr. | Social Worker | 1419 Madison Park Dr, Glen Burnie, MD 21061-5613 | 2018-10-23 |
| 1912457060 | William Willis | Counselor | 111 Lamon St, Suite 103, Fayetteville, NC 28301-4901 | 2016-10-12 |
| 1073947313 | William Paul Willis | Hearing Instrument Specialist | 11800 Se 82nd Ave, Happy Valley, OR 97086-7711 | 2013-08-22 |
| 1851536692 | William R Willis | Physical Therapist | 20 School St, Bradford, PA 16701-1257 | 2008-12-09 |
| 1972520567 | William Wyatt Willis | Family Medicine | 126 Trivette Dr, Suite 102, Pikeville, KY 41501-1275 | 2006-07-17 |
| 1376572990 | William N Willis | Chiropractor | 2829 Dallas St Nw, Kennesaw, GA 30144-2704 | 2006-07-03 |
| 1205875846 | William A Willis | General Practice | 104 Wall St, Poteau, OK 74953 | 2006-06-06 |
| Street Address |
1413 KINGSLEY AVE |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32073-4527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356371462 | Bobby Lee Hutchinson | Chiropractor | 1413 Kingsley Ave, Orange Park, FL 32073-4527 | 2006-07-04 |
| 1891276556 | Tracy Marie Gentry | Chiropractor | 1413 Kingsley Ave, Orange Park, FL 32073-4527 | 2018-08-22 |
| 1366874661 | Michael J. Paulk P.a. | Chiropractor | 1413 Kingsley Ave, Orange Park, FL 32073-4527 | 2013-08-08 |
| 1215258983 | Barney Van Durham II | Chiropractor | 1413 Kingsley Ave, Orange Park, FL 32073-4527 | 2010-06-17 |
| 1235460619 | Bob Hutchinson Pa | Chiropractor | 1413 Kingsley Ave, Orange Park, FL 32073-4527 | 2010-01-25 |
| 1285774620 | Michael Joseph Paulk | Chiropractor | 1413 Kingsley Ave, Orange Park, FL 32073-4527 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1962028688 | Esra Sari | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 | 2020-06-18 |
| 1104441146 | Zeshan Tariq Malik | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 | 2020-06-16 |
| 1902421894 | Ameer Hamza | Student in an Organized Health Care Education/Training Program | 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 | 2020-06-16 |
| 1497378103 | Fawad Ahmed Rashid | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 | 2020-05-28 |
| 1477174985 | Hannan Asghar | Student in an Organized Health Care Education/Training Program | Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 | 2020-05-06 |
| 1902427156 | Emmanuel Iyanuloluwa Morakinyo | Student in an Organized Health Care Education/Training Program | 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 | 2020-04-29 |
| 1437799327 | Dalande Leger | Behavior Technician | 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 | 2020-01-08 |
| 1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
| 1558927970 | Preetha Kamath | Student in an Organized Health Care Education/Training Program | Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 | 2019-05-10 |
| Find all providers in zip 32073 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972154896 | Acuna Medical LLC | Chiropractor | 1211 Blanding Blvd, Orange Park, FL 32065-7315 | 2019-09-23 |
| 1144609900 | Jns Physicians Group LLC | Chiropractor | 1724 Village Way Ste B, Orange Park, FL 32073-5225 | 2015-05-27 |
| 1952732281 | Natasha Kae Musser | Chiropractor | 410 Blanding Blvd Ste 7, Orange Park, FL 32073-5065 | 2013-12-12 |
| 1154624625 | Jacksonville Injury & Rehab | Chiropractor | 859 Park Ave, Suite 102, Orange Park, FL 32073-4187 | 2010-12-06 |
| 1316140817 | Randy John | Chiropractor | 35 Knight Boxx Rd, Suite 3, Orange Park, FL 32065-8053 | 2007-06-11 |
| 1346459021 | Staci Lynn Bracken | Chiropractor | 461 Kingsley Ave, Orange Park, FL 32073-4827 | 2007-05-21 |
| 1407072242 | Musa Chiropractic & Wellness Center Inc | Chiropractor | 1915 East West Pkwy Ste 1, Orange Park, FL 32003-6350 | 2007-04-18 |
| 1922142405 | John David Moore | Chiropractor | 752 Blanding Blvd Ste 2, Orange Park, FL 32065-5790 | 2007-02-16 |
| 1992860811 | Mary Ann Musa | Chiropractor | 1915-2 East West Parkway, Orange Park, FL 32003-4908 | 2006-12-22 |
| 1306917786 | Gordon B Garver | Chiropractor | 418 Kingsley Ave, Orange Park, FL 32073-4828 | 2006-11-10 |
| Find all providers in ORANGE PARK | ||||
| City | ORANGE PARK |
| Zip Code | 32073 |
Please comment or provide details below to improve the information on DR. WILLIAM PHILIP WILLIS.
| 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.