Erick J Willis
MD | Pediatrics | Male
Erick J Willis, MD is a Huntington, West Virginia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Erick J Willis is
2828 First Avenue, Suite 305, Huntington, West Virginia - 25702. He can be contacted on phone at
304-399-7565 and fax number 304-399-7568.
Erick J Willis is a sole proprietor of his business.
NPI number (Unique professional ID) for Erick J Willis is
1912111097 which was assigned by NPPES on 09 May, 2007 and it was last updated on 22 Apr, 2021.
Erick J Willis license number is
23279 for Pediatrics (208000000X) in West Virginia.
Erick J Willis is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Erick J Willis basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Erick J Willis |
|---|
| Credential : | MD |
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| Gender : | Male |
|---|
Business Address:
Erick J Willis address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2828 First Avenue, Suite 305
Huntington, WV, 25702
United States |
|---|
| Phone Number : | 304-399-7565 |
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| Fax Number : | 304-399-7568 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1912111097 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 09 May, 2007 |
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| Last Updated On : | 22 Apr, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Erick J Willis are as mentioned. Primary taxonomy code for Erick J Willis, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 99999 | WV |
| 208000000X | Pediatrics | Yes | 23279 | WV |
Legacy Identifiers:
Other legacy medical identifiers of Erick J Willis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 878669 | Other | WV | CARELINK |
| 000000245860 | MEDICAID | OH | |
| 9865182 | Other | WV | AETNA |
| 1073527 | Other | WV | BRICKSTREET |
| 6570317 | Other | WV | CIGNA |
| 3810012988 | MEDICAID | WV | |
| 2909820 | MEDICAID | OH | |
| 7100066820 | MEDICAID | KY | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | erick.willis@smmm.cernerdirect.com
| No affiliation |
|
| 2828 FIRST AVENUE, SUITE 305
HUNTINGTON, WV, 25702
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 4190
Barboursville, WV, 25504-4190
United States |
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| Phone Number : | 304-399-4405 |
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| Fax Number : | 304-399-2526 |
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Business Location:
Patients can refer following map for directions to
Erick J Willis practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.