DR. JONATHAN RANDALL WILLMS D.O. NPI 1891010658

NPI Information

  • NPI: 1891010658
  • Provider Name: DR. JONATHAN RANDALL WILLMS, D.O.
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 580 N CAMINO MERCADO STE 8
    CASA GRANDE, AZ
    ZIP 85122
  • Phone: (520) 381-0380

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NPI Details

DR. Jonathan Randall Willms, D.O. is an obstetrics gynecology in Casa Grande, AZ with 16 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Jonathan Randall Willms, D.O. NPI is 1891010658. 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:

580 N CAMINO MERCADO STE 8
CASA GRANDE, AZ
ZIP 85122-757
Phone: (520) 381-0380
Fax: (520) 836-1826

The NPI 1891010658 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)

The enumeration date for this NPI number is 4/5/2010 and was last updated on 12/2/2021.

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
1207V00000XObstetrics & Gynecology006349ARIZONAYes

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
1031916OTHERARIZONAMEDICARE
2ZFQ31815OTHERARIZONAMEDICARE
3901786MEDICAIDARIZONA
4031815OTHERARIZONAMEDICARE
5006349OTHERARIZONAMEDICAL LICENSE
6Z165308OTHERARIZONAMEDICARE

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: 11/21/2025

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