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Deactivated NPI 1275918328 Deactivated / Inactive NPI Male Practitioner

Joseph Willis , LAT, ATC

Specialist/Technologist - Athletic Trainer • Munster, IN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Joseph Willis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 29, 2015
NPI Deactivation Date January 29, 2019
Total Practice Duration ~4 Years of Practice (2015 – 2019)

Professional Overview & Biography Verified Profile Summary

Joseph Willis, LAT, ATC was a registered Specialist/Technologist - Athletic Trainer practicing in Munster, IN. Throughout an active medical career spanning 4 years, Joseph Willis provided care at the practice location at 901 MACARTHUR BLVD until profile deactivation on 2019-01-29.

Practice Location & Contact Primary Location

Practice Address

901 Macarthur Blvd

Munster, IN 463212901

Telephone 2198361600
Associated Practice Facility / Clinic
🏢 Munster Radiology Group Pc Facility NPI 1144207101

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Munster, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
23 Specialists

Practicing in Munster, IN (1604 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License IN 36002400A

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Farrukh Chaudhry , MD

Psychiatry & Neurology - Neurocritical Care

NPI 1003077900

Doctor of Medicine (M.D.)

Dr. Avram Estes , MD

Emergency Medicine

NPI 1003297888

Doctor of Medicine (M.D.)

Dr. Ruth Goldberg , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1003801812

Doctor of Medicine (M.D.)

NPI 1003922121

Doctor of Medicine (M.D.)

NPI 1033120944

Doctor of Medicine (M.D.)

Jonathan Chua

Pharmacist

NPI 1033710561

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 29, 2019

Record deactivated on January 29, 2019

NPI Profile Active July 29, 2015

NPI status registered as active in NPPES database

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Updated Practice Location July 29, 2015

Registered at 901 MACARTHUR BLVD, MUNSTER, IN 463212901 (Tel: 2198361600)

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Updated Business Mailing Address July 29, 2015

Registered at 9740 WILDWOOD CIR APT 1B, MUNSTER, IN 463213980 (Tel: 2197186490)

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Provider Name / Credentials Updated July 29, 2015

Recorded as JOSEPH WILLIS, LAT, ATC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2015

Specialist/Technologist (License #36002400A in IN)

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Initial NPI Registration & Enumeration July 29, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275918328
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 29, 2015
Last Update: July 29, 2015
Deactivation Date: January 29, 2019

Mailing Address

9740 Wildwood Cir Apt 1b

Munster, IN 463213980

Phone: 2197186490

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.