DR. KENNETH DEAN WILLIS M.D.
NPI 1053486704
Anesthesiology - Pain Medicine in Huntsville, AL

NPI Status: Active since November 21, 2006

Contact Information

3007 MEMORIAL PKWY SW
HUNTSVILLE, AL
ZIP 35801
Phone: (256) 882-2003
Fax: (256) 705-4630

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  • Individual
  • Male
  • Anesthesiology
  • Pain Medicine

About KENNETH WILLIS

This page provides the complete NPI Profile along with additional information for Kenneth Willis, a provider established in Huntsville, Alabama with a medical specialization in Anesthesiology, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1053486704 assigned on November 2006. The practitioner's primary taxonomy code is 207LP2900X with license number 12320 (AL). The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1053486704
Provider Name
DR. KENNETH DEAN WILLIS M.D.
Gender
Male
Entity Type
Individual
Location Address
3007 MEMORIAL PKWY SW HUNTSVILLE, AL 35801
Location Phone
(256) 882-2003
Location Fax
(256) 705-4630
Mailing Address
PO BOX 18084 HUNTSVILLE, AL 35804
Mailing Phone
(256) 882-2003
Mailing Fax
(256) 705-4630
Is Sole Proprietor?
Yes
Enumeration Date
11-21-2006
Last Update Date
01-06-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anesthesiology Pain Medicine

Taxonomy Code
207LP2900X
Type
Allopathic & Osteopathic Physicians
License No.
12320
License State
AL
Taxonomy Description
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00098275MEDICARE PIN (08)AL 
529908240MEDICAID (05)AL 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1053486704, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
8
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 4 → 8 6 → 12 → 3 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 8 + 8 + 1 + 2 + 7 + 0 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1053486704.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
3007 MEMORIAL PKWY SW, SUITE C
HUNTSVILLE, AL 35801
Family Medicine (Geriatric Medicine)
3007 MEMORIAL PKWY SW
HUNTSVILLE, AL 35801
Optometrist
3007 MEMORIAL PKWY SW
HUNTSVILLE, AL 35801
Nurse Practitioner
3007 MEMORIAL PKWY SW
HUNTSVILLE, AL 35801
Clinic/Center (Primary Care)
3007 MEMORIAL PKWY SW, SUITE B
HUNTSVILLE, AL 35801
Family Medicine (Geriatric Medicine)
3007 MEMORIAL PKWY SW, SUITE B
HUNTSVILLE, AL 35801
Nurse Practitioner (Women's Health)
3007 MEMORIAL PKWY SW, STE C
HUNTSVILLE, AL 35801
Internal Medicine (Geriatric Medicine)
3007 MEMORIAL PKWY SW, SUITE B
HUNTSVILLE, AL 35801
Nurse Practitioner (Psychiatric/Mental Health)
3007 MEMORIAL PKWY SW
HUNTSVILLE, AL 35801
Social Worker (Clinical)
3007 MEMORIAL PKWY SW
HUNTSVILLE, AL 35801
Psychologist (Clinical)
3007 MEMORIAL PKWY SW
HUNTSVILLE, AL 35801
Nurse Practitioner (Gerontology)
3007 MEMORIAL PKWY SW, SUITE B
HUNTSVILLE, AL 35801
Technician/Technologist (Optician)
3007 MEMORIAL PKWY SW
HUNTSVILLE, AL 35801
Pain Medicine (Interventional Pain Medicine)
3007 MEMORIAL PKWY SW
HUNTSVILLE, AL 35801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053486704, enumerated as an "individual" on November 21, 2006.

The provider is located at 3007 MEMORIAL PKWY SW HUNTSVILLE, AL 35801 and the phone number is (256) 882-2003.

Anesthesiology with taxonomy code 207LP2900X and a focus in Pain Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.