Provider Demographics
NPI:1235170762
Name:WILLS, ROBERT DOUGLAS (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:DOUGLAS
Last Name:WILLS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1115 BOULDERS PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23225-4067
Mailing Address - Country:US
Mailing Address - Phone:804-560-5595
Mailing Address - Fax:804-560-9029
Practice Address - Street 1:8200 MEADOWBRIDGE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-2331
Practice Address - Country:US
Practice Address - Phone:804-730-2121
Practice Address - Fax:804-730-0563
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101235777207XS0114X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA540885859OtherC&O EMPLOYEES HEALTHCARE
VA540885859OtherFOCUS
VA540885859OtherFIRST HEALTH/CCN
VA3611871OtherAETNA HMO
VA540885859OtherCORVEL
VA540885859OtherPRIVATE HEALTHCARE SYSTEM
VA010056101Medicaid
VA103416OtherANTHEM HEALTHKEEPERS
VA115978OtherANTHEM WEST END OPERATORY
VA238092OtherSOUTHERN HEALTH
VA66538OtherOPTIMA HEALTH
VAP00085797OtherRAILROAD MEDICARE
VA1235170762Medicaid
VA540885859OtherCOMPMANAGEMENT
VA540885859OtherCIGNA
VA2138350OtherUNITED HEALTHCARE MAMSI
VA46157OtherSH CARENET
VA901539OtherUNITED HEALTHCARE
VA1235170762Medicaid
VA238092OtherSOUTHERN HEALTH
VA540885859OtherC&O EMPLOYEES HEALTHCARE