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NPI Code Detail

MEDICARE: DR. MICHAEL B WILLIARD MD

MEDICARE: DR. MICHAEL B WILLIARD MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician35059028OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14280011OTHEROHAETNA
2000000332392OTHEROHANTHEM
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
40903071OTHEROHUHC

General Provider Information

NPI Number : 1184617268
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL B WILLIARD MD
Provider Business Mailing Address
First Line : 340 POLARIS PKWY
Second Line :
City : WESTERVILLE
State : OH
Zip : 43082-7971
Country : US
Telephone Number : 614-545-7900
Fax Number : 614-545-7901
Provider Business Practice Location Address
First Line : 605 CRESCENT PL
Second Line :
City : GAHANNA
State : OH
Zip : 43230-3086
Country : US
Telephone Number : 614-545-7900
Fax Number : 614-545-7901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2005
Last Update Date : 01/16/2025

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Directions to “ DR. MICHAEL B WILLIARD MD” Practice Location

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