DR. PARK W WILLIS MD NPI 1992866040

NPI Information

NPI: 1992866040
Provider Name: DR. PARK W WILLIS, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
101 MANNING DR
CHAPEL HILL, NC
ZIP 27599
Phone: (919) 966-4996
Get Directions

DR. Park W Willis, MD is a cardiovascular disease internal medicine in Chapel Hill, NC. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Park W Willis, MD NPI is 1992866040. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

101 MANNING DR
CHAPEL HILL, NC
ZIP 27599-001
Phone: (919) 966-4996
Fax: (919) 843-5515

The enumeration date for this NPI number is 12/13/2006 and was last updated on 6/23/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	0000-22374	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8988137	MEDICAID	NORTH CAROLINA
2	211605	MEDICARE PIN	NORTH CAROLINA
3	110126328	OTHER	NORTH CAROLINA	RAIL ROAD MEDICARE
4	C27160	MEDICARE UPIN	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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