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DR. PARK W WILLIS IV MD
NPI 1992866040
Internal Medicine - Cardiovascular Disease in Chapel Hill, NC

Active since December 13, 2006
101 MANNING DR, CHAPEL HILL, NC 27599(919) 966-4996(919) 843-5515 Get Directions Write a Review

NPPES record last updated: June 23, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Park W Willis Iv Md NPPES

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

DR. PARK W WILLIS IV MD (NPI 1992866040) is an individual cardiovascular disease provider in Chapel Hill, North Carolina, licensed in North Carolina (0000-22374) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1992866040
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. PARK W WILLIS IVCredential: MD
Location Address101 MANNING DRChapel Hill, NC 27599-0001
Mailing Address143 W Franklin StChapel Hill, NC 27516-2539 · (919) 966-4996 · Fax (919) 843-5515
Phone(919) 966-4996
Fax(919) 843-5515
Sole ProprietorNo
Enumeration DateDecember 13, 2006
Last NPPES UpdateJune 23, 2008
✔ NPI 1992866040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NC · 0000-22374
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
101 MANNING DR, Chapel Hill, NC 27599
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Other Identifiers 4

Medicaid8988137NC
Medicare PIN211605NC
Other110126328NC · Rail Road Medicare
Medicare UPINC27160NC

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.

RICHARD M MONTMENY
Physical Therapist
101 MANNING DR
CHAPEL HILL, NC 27599
Orange County (919) 966-8596
JOSEPH PIVEN MD
Psychiatry & Neurology (Psychiatry)
101 MANNING DR
CHAPEL HILL, NC 27599
Orange County (919) 966-8696
DR. JOE T MINCHEW MD
Orthopaedic Surgery
101 MANNING DR
CHAPEL HILL, NC 27599
Orange County (919) 966-8596
DR. ROBERT V KELLY MD
Internal Medicine (Cardiovascular Disease)
101 MANNING DR
CHAPEL HILL, NC 27599
Orange County (919) 966-4996
DR. GEORGE A STOUFFER III MD
Internal Medicine (Cardiovascular Disease)
101 MANNING DR
CHAPEL HILL, ND 27599
Orange County (919) 966-4131
DR. MARGARET L GULLEY MD
Pathology (Clinical Pathology/Laboratory Medicine)
101 MANNING DR
CHAPEL HILL, NC 27599
Orange County (919) 966-4996
PROF. MARY E VANBOURGONDIEN PH.D.
Psychologist (Clinical)
101 MANNING DR
CHAPEL HILL, NC 27599
Orange County (919) 966-8596
MONICA A BELGADO CRNA
Nurse Anesthetist, Certified Registered
101 MANNING DR
CHAPEL HILL, NC 27599
Orange County (919) 966-4996

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 Park Willis's NPI number?

The NPI number for Park Willis is 1992866040. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Park Willis located?

Park Willis practices at 101 Manning Dr, Chapel Hill, NC 27599. The listed phone number is (919) 966-4996.

What is Park Willis's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Park Willis was last updated on June 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.