DR. DEAN NORMAN WILLIS


Address: 50 Fair Harbour Pl, Suite 2-c, New London, CT 06320-4731
Phone: 8604433147

DR. DEAN NORMAN WILLIS (NPI# 1598859746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598859746
Entity Type Individual
Full Name DR. DEAN NORMAN WILLIS
Credential M.D.
Practice Address 50 Fair Harbour Pl
Suite 2-c
New London
CT 06320-4731
Practice Telephone 8604433147
Practice Fax Number 8604430087
Mailing Telephone 8604433147
Mailing Fax Number 8604430087
Enumeration Date 2006-10-03
Last Update Date 2010-02-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 22374 CT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CT 001223742 05

Office Location

Street Address 50 FAIR HARBOUR PL
SUITE 2-C
City NEW LONDON
State CT
Zip Code 06320-4731

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558319194 Arthur S Welch Physician Assistant 50 Fair Harbour Pl, Suite 2-a, New London, CT 06320-4731 2006-05-05
1700310927 Anesthesia Associates of New London, P.c Pain Medicine 50 Fair Harbour Pl, New London, CT 06320-4731 2017-04-13
1700932308 Ronald Reid Durbin IIi Surgery 50 Fair Harbour Pl, Suite 2c, New London, CT 06320-4731 2007-01-26
1811076193 Ronald Paul Hantman Neurological Surgery 50 Fair Harbour Pl, New London, CT 06320-4731 2006-11-06
1952495087 General Surgical Associates of N.l., P.C. Surgery 50 Fair Harbour Pl, Suite 2-c, New London, CT 06320-4731 2006-10-03
1154372175 Paul Robert Bourguignon Surgery 50 Fair Harbour Pl, Suite 2c, New London, CT 06320-4731 2006-05-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942824891 Shilpi Jain Physical Therapist 31 Vauxhall Street, Beechwood Post Accute, Transitional, New London, CT 06320 2020-06-05
1174009641 Catherine Hinojosa Nurse Practitioner 1 Shaws Cove, New London, CT 06320 2018-07-17
1043668320 Cultivate & Grow Inc. Counselor 302 State St Suite 307, New London, CT 06320 2016-05-27
1295137263 Jacqueline Durnell Registered Nurse 15 Mohegan Drive, Us Coast Guard Academy Regional Clinic, New London, CT 06320 2014-09-22
1922427541 Corina Vendetto Registered Nurse 245 Shaw St., New London, CT 06320 2014-04-10
1912329962 Janelle Posey-green Social Worker 302 State St., Suite 201, New London, CT 06320 2014-01-10
1750622692 Cynthia Mitchell Social Worker 65b Michael Rd, New London, CT 06320 2013-03-01
1518254507 Simon J Shapiro Physical Medicine & Rehabilitation 190 Howard Avenue, New London, CT 06320 2011-06-29
1184876708 Jane P Genido-trujillo Nurse Practitioner 270 Mohegan Ave., Student Health Services, New London, CT 06320 2008-10-14
1932356284 Gerard Joseph Ventura Dentist 21 Montauk Ave., Suite 102, New London, CT 06320 2008-08-19
Find all providers in zip 06320

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285926071 Nicholas Chester Reynolds Jr. Surgery 153 Seamans Road, New London, NH 03257 2011-05-11
1437100526 Jennifer Kernan Surgery 249 County Rd, New London, NH 03257-5795 2006-05-13
1447216981 Stratton Danes Surgery 2 Shaws Cv, New London, CT 06320 2006-04-25
1033104245 Kathleen Kurowski Surgery 4 Shaws Cove, Suite 201, New London, CT 06320 2005-09-14
1407226335 Connecticut Hand Center, PC Surgery 59 Fair Harbour Pl, New London, CT 06320-4739 2015-10-05
1417362955 Justin Gauthier Surgery 365 Montauk Ave, New London, CT 06320-4700 2014-06-23
1336431071 Brian Woongki Hong Surgery 1405 Mill St, New London, WI 54961-2155 2011-05-13
1700932308 Ronald Reid Durbin IIi Surgery 50 Fair Harbour Pl, Suite 2c, New London, CT 06320-4731 2007-01-26
1366536526 David Frank Reisfeld Surgery 194 Howard St, New London, CT 06320-5544 2006-10-03
1952495087 General Surgical Associates of N.l., P.C. Surgery 50 Fair Harbour Pl, Suite 2-c, New London, CT 06320-4731 2006-10-03
Find all providers in NEW LONDON

Competitor

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City NEW LONDON
Zip Code 06320

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Dataset Information

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.

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