SAMUEL VAUGHAN HANSON WILLIS M.D.
NPI 1467644757
Family Medicine in Saint Paul, MN

Q: What is Samuel Hanson Willis's NPI number?

The NPI number for Samuel Hanson Willis is 1467644757. It was assigned to this individual provider in the NPPES registry on August 10, 2007. The provider is also known as Samuel Vaughan Willis M.D..

Q: What is Samuel Hanson Willis's specialty?

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

Active since August 10, 2007

2155 FORD PKWY, SAINT PAUL, MN 55116(651) 696-5000(651) 696-5001 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2021, Feb 21, 2019 (2 updates tracked since 2019).

On this page

About Samuel Vaughan Hanson Willis M.d. NPPES

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

SAMUEL VAUGHAN HANSON WILLIS M.D. (NPI 1467644757) is an individual family medicine provider in Saint Paul, Minnesota, licensed in Minnesota (49888) and active in the NPI registry since August 2007. He maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1467644757

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSAMUEL VAUGHAN HANSON WILLISCredential: M.D.

Location Address2155 FORD PKWYSaint Paul, MN 55116-1862

Mailing Address2155 Ford PkwySaint Paul, MN 55116-1862 · (651) 696-5000 · Fax (651) 696-5001

Phone(651) 696-5000

Fax(651) 696-5001

Sole ProprietorNo

Enumeration DateAugust 10, 2007

Last NPPES UpdateMarch 11, 20212 updates tracked since enumeration

NPPES CertifiedMarch 11, 2021

✔ NPI 1467644757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 49888

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.

2155 FORD PKWY, Saint Paul, MN 55116

Open in Google Maps ↗

Other Names 1

Former Name (1)Samuel Vaughan Willis M.d.

Secondary Practice Location 1

Location 13270 W Lake StMinneapolis, MN 55416-4512 · Phone (612) 775-1800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES 20

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

CATHERINE COLLEEN COMPTON CNP

Nurse Practitioner (Family)