Healthcare Provider Details

I. General information

NPI: 1396123436
Provider Name (Legal Business Name): WILLIS CHIA-WEI HONG
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2015
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 SW ORALABOR RD
ANKENY IA
50023
US

IV. Provider business mailing address

905 SW ORALABOR RD
ANKENY IA
50023
US

V. Phone/Fax

Practice location:
  • Phone: 515-965-0300
  • Fax: 602-839-2359
Mailing address:
  • Phone: 515-965-0300
  • Fax: 515-289-8554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD-46366
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: