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ELLIOTT HERSCHEL WILLIS D.O. NPI 1649218975


NPI Information

NPI: 1649218975
Provider Name: ELLIOTT HERSCHEL WILLIS, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
301 OXFORD VALLEY RD
SUITE 905A
YARDLEY, PA
ZIP 19067
Phone: (215) 321-9896
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Elliott Herschel Willis, D.O. is a family medicine in Yardley, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Elliott Herschel Willis, D.O. NPI is 1649218975. 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:

301 OXFORD VALLEY RD
SUITE 905A
YARDLEY, PA
ZIP 19067-706
Phone: (215) 321-9896
Fax: (215) 321-4369

The enumeration date for this NPI number is 6/2/2006 and was last updated on 11/17/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine25MB03196100NEW JERSEYNo
2207Q00000XFamily MedicineOS003457LPENNSYLVANIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
130079314OTHERPENNSYLVANIAKEYSTONE MERCY
26296514OTHERPENNSYLVANIAAETNA HMO
335651OS003457LOTHERPENNSYLVANIAHEALTH PARTNERS
40022645000OTHERPENNSYLVANIAKEYSTONE IBC
5080084616OTHERPALMETTO GBA RAILROAD MED
6105263OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
7D77435MEDICARE UPINPENNSYLVANIA
8105263MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
90070048520002MEDICAIDPENNSYLVANIA
10105263GH2MEDICARE PINPENNSYLVANIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.