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DR. FRED SPENCER WILLIS SR. M.D.
NPI 1245441005
Family Medicine in Shreveport, LA

Active since May 24, 2007
1560 IRVING PL, SHREVEPORT, LA 71101(318) 212-1194(318) 212-1196 Get Directions Write a Review

NPPES record last updated: February 2, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Fred Spencer Willis Sr. M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. FRED SPENCER WILLIS SR. M.D. (NPI 1245441005) is an individual family medicine provider in Shreveport, Louisiana, licensed in Louisiana (009828) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1245441005
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. FRED SPENCER WILLIS SR.Credential: M.D.
Location Address1560 IRVING PLShreveport, LA 71101-4604
Mailing Address11245 Heritage OaksShreveport, LA 71106-8386 · (318) 797-8203
Phone(318) 212-1194
Fax(318) 212-1196
Sole ProprietorNo
Enumeration DateMay 24, 2007
Last NPPES UpdateFebruary 2, 2015
✔ NPI 1245441005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in LA · 009828
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1560 IRVING PL, Shreveport, LA 71101
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIABETES ASSESSMENT AND MANAGEMENT CENTER OF SHREVEPORT, LLC
Clinic/Center
1560 IRVING PL, SUITE 501
SHREVEPORT, LA 71101
Caddo Parish (318) 212-1194
WILLIAM LEE GIBSON JR. MD
Family Medicine
1560 IRVING PL
SHREVEPORT, LA 71101
Caddo Parish (318) 212-1194
GENESIS NEPHROLOGY, LLC
Internal Medicine (Nephrology)
1560 IRVING PL
SHREVEPORT, LA 71101
Caddo Parish (318) 221-2707
BARBIN LEWIS RD, LDN
Dietitian, Registered
1560 IRVING PL
SHREVEPORT, LA 71101
Caddo Parish (318) 212-1194
ELIZABETH CHESNE PA
Physician Assistant
1560 IRVING PL
SHREVEPORT, LA 71101
Caddo Parish (318) 212-1194
JON-MICHAEL LEBLANC LPC
Counselor (Professional)
1560 IRVING PL
SHREVEPORT, LA 71101
Caddo Parish (318) 415-6010
DIABETES ASSESSMENT AND MANAGEMENT CENTER OF SHREVEPORT LLC
Dietitian, Registered
1560 IRVING PL
SHREVEPORT, LA 71101
Caddo Parish (318) 212-1194

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fred Willis's NPI number?

The NPI number for Fred Willis is 1245441005. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Where is Fred Willis located?

Fred Willis practices at 1560 Irving Pl, Shreveport, LA 71101. The listed phone number is (318) 212-1194.

What is Fred Willis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Fred Willis was last updated on February 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.