DR. ARNOLD J WILLIS (NPI# 1275525545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275525545 |
| Entity Type | Individual |
| Full Name | DR. ARNOLD J WILLIS |
| Credential | MD |
| Practice Address |
590 Court St Keene NH 03431-1719 |
| Practice Telephone | 6033545400 |
| Mailing Telephone | 6033545400 |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2020-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | 85836 | GA | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | LT4196 | NH | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | TL6077 | WY | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | MD9513 | DC | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | D0020464 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA PPO | 4053748 | 01 | |
| BCBS DC | 57620005 | 01 | |
| RAILROAD MEDICARE | P00439848 | 01 | |
| PRIORITY PARTNERS | 028055 | 01 | |
| CIGNA | 1095850 | 01 | |
| BRAVO HEALTH | 432105237 | 01 | |
| OPTIMUM CHOICE | 45428 | 01 | |
| BCBS MD | 35301902 | 01 | |
| BCBS MD | 35301905 | 01 | |
| DC | 023376900 | 05 | |
| JOHN HOPKINS | 028055 | 01 | |
| UNITED HEALTHCARE AMERICHOICE | 1901104 | 01 | |
| AETNA HMO | 1467393 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1707 Meadows Ln Ste F, Vidalia, GA 304747201 | 9125379481 | 9125371380 |
| Street Address |
590 COURT ST |
| City | KEENE |
| State | NH |
| Zip Code | 03431-1719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477558385 | Marika L Henegan | Family Medicine | 590 Court St, Dartmouth-hitchcock Keene, Keene, NH 03431-1719 | 2005-06-16 |
| 1558978791 | Regina C Carideo | Nurse Practitioner | 590 Court St, Keene, NH 03431 | 2020-09-30 |
| 1023632205 | Jason Davis | Physician Assistant | 590 Court St, Keene, NH 03431-1719 | 2020-06-03 |
| 1336763861 | Alisha Marie Russell | Nurse Practitioner | 590 Court St, Keene, NH 03431-1719 | 2020-06-01 |
| 1518589928 | Brynne E Underhill | Nurse Practitioner | 590 Court St, Keene, NH 03431 | 2020-05-08 |
| 1841829926 | Madeline Lucille Sudekum | Registered Nurse | 590 Court St, Keene, NH 03431-1719 | 2020-04-02 |
| 1558997627 | Ashley C Bombicino | Dietitian, Registered | 590 Court St, Keene, NH 03431 | 2020-03-20 |
| 1568004307 | Samantha M Barry | Nurse Practitioner | 590 Court St, Keene, NH 03431-1719 | 2019-10-14 |
| 1811550734 | Benjamin M Wilkie | Physician Assistant | 590 Court St, Keene, NH 03431-1719 | 2019-04-16 |
| 1457830903 | Kathryn Macy Carson | Nurse Practitioner | 590 Court St, Keene, NH 03431-1719 | 2018-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153443 | County of Cheshire | Case Manager/Care Coordinator | 12 Court Street, Finance Department, Keene, NH 03431 | 2020-10-29 |
| 1316506686 | Lynn Marie Noonan | Dental Hygienist | 69v Island Street, Keene, NH 03431 | 2019-06-11 |
| 1467925164 | Barbara B. Dematteo, Pt | Physical Therapist | 70 Island Street, Keene, NH 03431 | 2019-01-04 |
| 1275065591 | Kyle Harriman James | Emergency Medicine | 590 Court St., Keene, NH 03431 | 2017-03-28 |
| 1932584372 | Sarah Gornall | Occupational Therapist | 298 Main St., Keene, NH 03431 | 2015-07-28 |
| 1457748618 | Cassandra Curtis | Massage Therapist | 103 Roxbury Street, Suite # 200d, Keene, NH 03431 | 2015-04-24 |
| 1518354455 | Allen Penrod | Counselor | 170 Emerald Street, Suite 203, Keene, NH 03431 | 2015-04-17 |
| 1447652615 | Cheshire Health Services Inc | Clinic/Center | 149 Emerald St Ste L, Keene, NH 03431 | 2014-09-19 |
| 1053710541 | Louise Howlett | Marriage & Family Therapist | 19 Federal St., Keene, NH 03431 | 2014-08-20 |
| 1861816076 | Christine Fleming | Physical Therapy Assistant | 197 Water Street, Keene, NH 03431 | 2014-02-07 |
| Find all providers in zip 03431 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386601987 | Thomas C Mcnamara | Urology | 149 Emerald St, Keene, NH 03431-3611 | 2006-04-27 |
| 1134410582 | Erik Allen Pattison | Urology | 590 Court St, Dartmouth Hitchcock - Urology, Keene, NH 03431-1719 | 2011-04-20 |
| 1881915833 | Martin Simon Gross | Urology | 590 Court Street, Urology, Keene, NH 03431 | 2010-06-14 |
| 1154494607 | George Forrest Quimby | Urology | 149 Emerald St, Keene, NH 03431-3611 | 2006-11-15 |
| 1487733507 | Gary Toshi Murata | Urology | 149 Emerald St, Keene, NH 03431-3611 | 2006-11-02 |
| 1144309162 | Mark Funk | Urology | 149 Emerald St, Keene, NH 03431-3611 | 2006-11-02 |
| 1487733598 | Urology Assocs of Monad | Urology | 117 Main St, Keene, NH 03431-3775 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821269754 | Egbert D Baumgart | Urology | 17 Old Rollinsford Road, Suite 3, Dover, NH 03820-2892 | 2008-03-19 |
| 1689842544 | Sidney Robert Katz | Urology | 781 Smyth Rd, Va Medicalcenter, Manchester, NH 03104 | 2008-02-13 |
| 1952456014 | Henry Haskins Ferrell IIi | Urology | 1 Park Avenue, Unit 6 1, Hampton, NH 03842 | 2007-01-25 |
| 1396852786 | Armando E Lopez | Urology | 718 Smyth Rd Fl 3, Manchester, NH 03104 | 2006-08-23 |
| 1588622757 | Cyrus B Noble | Urology | 4 Elliot Way Ste 200, Manchester, NH 03103-3544 | 2006-05-03 |
| 1366435737 | Robert P Cricco | Urology | 5 Dunning St, Claremont, NH 03743-2099 | 2005-08-31 |
| 1659375327 | Sandy Chin | Urology | 10 Members Way, Suite 402, Dover, NH 03820 | 2005-06-09 |
| 1003475914 | Jason Akerman | Urology | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2019-06-13 |
| 1003293887 | Gina Nicole Tundo | Urology | 1 Medical Center Dr, Dhmc, Lebanon, NH 03756-1000 | 2015-04-30 |
| 1407274442 | Eric Raffin | Urology | 10 Members Way, Dover, NH 03820-5933 | 2014-04-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. ARNOLD J 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.