WALTER J WILLOUGHBY JR. (NPI# 1376592477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376592477 |
| Entity Type | Individual |
| Full Name | WALTER J WILLOUGHBY JR. |
| Credential | MD |
| Practice Address |
10105 Banburry Cross Dr Ste 355 Las Vegas NV 89144-6646 |
| Mailing Address |
5590 S Fort Apache Rd Las Vegas NV 89148-7657 |
| Practice Telephone | 7029981400 |
| Practice Fax Number | 7029981333 |
| Mailing Telephone | 7023824814 |
| Mailing Fax Number | 7025983718 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2013-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
4004 | NV | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
4004 | NV | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
4004 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1376592477 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528084258 | Walter O. Willoughby Jr. | General Practice | 301 Castle Shannon Blvd, Pittsburgh, PA 15234-1403 | 2006-07-14 |
| Street Address |
10105 BANBURRY CROSS DR STE 355 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89144-6646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477532372 | Michael O Nyarko | Pediatrics | 10105 Banburry Cross Dr, Suite 370, Las Vegas, NV 89144-6646 | 2006-01-10 |
| 1205472719 | Caroline Eva Talbot | Pediatrics | 10105 Banburry Cross Dr, Las Vegas, NV 89144-6646 | 2019-11-19 |
| 1487121067 | Teresa M Baker | Physician Assistant | 10105 Banburry Cross Dr, Las Vegas, NV 89144-6646 | 2018-10-31 |
| 1598294308 | Chely Arias | Specialist/Technologist | 10105 Banburry Cross Dr, Las Vegas, NV 89144-6646 | 2017-06-06 |
| 1275985475 | J Michele Lentz Apn Msn LLC | Nurse Practitioner | 10105 Banburry Cross Dr, Suite 130, Las Vegas, NV 89144-6646 | 2016-07-12 |
| 1265896880 | David Richards | Internal Medicine | 10105 Banburry Cross Dr, Las Vegas, NV 89144-6646 | 2016-04-09 |
| 1932477296 | Womens Specialty Care, Lllp | Non-Pharmacy Dispensing Site | 10105 Banburry Cross Dr, Suite 460, Las Vegas, NV 89144-6646 | 2011-12-01 |
| 1013206614 | Jacki Marie Deguzman | Internal Medicine | 10105 Banburry Cross Dr, Suite 150, Las Vegas, NV 89144-6646 | 2011-04-04 |
| 1134437445 | Orthopaedic Solutions LLC | Orthopaedic Surgery | 10105 Banburry Cross Dr, Suite 445, Las Vegas, NV 89144-6506 | 2010-09-21 |
| 1790011922 | Monica Hall | Physician Assistant | 10105 Banburry Cross Dr, #150, Las Vegas, NV 89144-6646 | 2009-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033609599 | Anila Naz | Technician | 1529 Waterton Drive, Las Vegas, NV 89144 | 2018-05-10 |
| 1467987487 | Judith L. Tan | Nurse Practitioner | Summerlin Hospital, 657 N Town Center Dr, Las Vegas, NV 89144 | 2017-04-27 |
| 1871049437 | Derek Anthony Smith | Physical Therapist | 89135, 10550 W Park Run Dr, Las Vegas, NV 89144 | 2016-09-01 |
| 1619324662 | Sydney Spoon | Dietitian, Registered | 624 Canyon Greens Dr, Las Vegas, NV 89144 | 2016-05-19 |
| 1629455985 | Md24 Nv, Inc. | Nurse Practitioner | 1180 North Town Center Dr, Ste 100, Las Vegas, NV 89144 | 2015-05-06 |
| 1053652628 | Melvin Lackey Jr. | Behavioral Analyst | 10708 Esk Dr, Las Vegas, NV 89144 | 2013-03-07 |
| 1740445667 | Jaydee R. Lumbad | Family Medicine | 1111 N Town Center Drive, Las Vegas, NV 89144 | 2008-07-21 |
| 1700053824 | Samim Enayat | Internal Medicine | 10105 Banburry Cross Dr Ste 130, Las Vegas, NV 89144 | 2008-05-08 |
| 1629252457 | Edmund Reyes Goroza | Pediatrics | 10105 Banburry Cross Dr Ste 170, Las Vegas, NV 89144 | 2007-12-28 |
| 1730375262 | H.l.greenberg M.d., Ltd. | Clinic/Center | 653 N. Town Center Drive, Ste #410, Las Vegas, NV 89144 | 2007-09-18 |
| Find all providers in zip 89144 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487929006 | Edward Judson Miller | Internal Medicine | 1096 Pinehurst Dr, Las Vegas, NV 89109-1522 | 2012-03-14 |
| 1053643080 | Joram S Seggev Md Chartered | Internal Medicine | 7500 W Lake Mead Blvd # C9-292, Las Vegas, NV 89128-0297 | 2010-02-01 |
| 1619139813 | Sapna Bhatia | Internal Medicine | 3150 N Tenaya Way Ste 125, Las Vegas, NV 89128 | 2008-06-28 |
| 1073689048 | Michael Dean Schlachter | Internal Medicine | 6600 W Charleston Blvd Ste 130, Las Vegas, NV 89146 | 2006-11-28 |
| 1265476774 | Joel D Orevillo | Internal Medicine | 7200 Cathedral Rock Dr Ste 170, Las Vegas, NV 89128-0466 | 2006-06-15 |
| 1508807918 | Christopher C Breeden | Internal Medicine | 2000 Wellness Way, Las Vegas, NV 89106-4113 | 2006-06-09 |
| 1093763112 | Nawaz Qureshi | Internal Medicine | 150 E Harmon Ave, Ste. 202, Las Vegas, NV 89109-4533 | 2006-05-04 |
| 1164798591 | Joseph David Nagan | Internal Medicine | 1707 W Charleston Blvd Ste 230, Las Vegas, NV 89102-2353 | 2012-03-29 |
| 1578840724 | Caremore Medical Group of Nevada Worku PC | Internal Medicine | 3121 S Maryland Pkwy, Suite 204, Las Vegas, NV 89109-2307 | 2011-11-15 |
| 1316226665 | Rajany Vidallon Dy | Internal Medicine | 1707 W Charleston Blvd Ste 230, Las Vegas, NV 89102-2353 | 2011-08-04 |
| Find all providers in LAS VEGAS | ||||
Please comment or provide details below to improve the information on WALTER J WILLOUGHBY JR..
| 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.