SHAILA N WILLISTON MD NPI 1649388364

NPI Information

  • NPI: 1649388364
  • Provider Name: SHAILA N WILLISTON, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1700 WELLS ROAD
    SHAILA N WILLISTON MD STE 27
    ORANGE PARK, FL
    ZIP 32073
  • Phone: (904) 264-0359

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NPI Details

Shaila N Williston, MD is a family medicine in Orange Park, FL. 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. Shaila N Williston, MD NPI is 1649388364. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1700 WELLS ROAD
SHAILA N WILLISTON MD STE 27
ORANGE PARK, FL
ZIP 32073
Phone: (904) 264-0359

The NPI 1649388364 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/25/2006 and was last updated on 11/20/2010.

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
1207Q00000XFamily MedicineME33442FLORIDAYes

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
115506MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
2D52614MEDICARE UPINFLORIDA
3037983200MEDICAIDFLORIDA

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: 3/30/2025

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