{"npi":"1982929741","type":"NPI-1","status":"active","name":{"display":"Dr. John Willis MD","other":[],"first":"JOHN","last":"WILLIS","middle":"HARTER","credential":"MD"},"specialty":{"primary_taxonomy":"207Y00000X","primary_taxonomy_description":"Otolaryngology Physician","slug":"otolaryngology-physician","schema_org_specialty":null,"all":[{"code":"207Y00000X","description":"Otolaryngology Physician","primary":false,"state":"IN","license":"01088365A"},{"code":"207Y00000X","description":"Otolaryngology Physician","primary":true,"state":"NC","license":"2015-00476"}]},"addresses":[{"purpose":"LOCATION","street_1":"110 CHARLOIS BLVD","city":"WINSTON SALEM","state":"NC","postal_code":"271031522","country_code":"US","phone":"3367683361","fax":"3366592446"},{"purpose":"MAILING","street_1":"110 CHARLOIS BLVD","city":"WINSTON SALEM","state":"NC","postal_code":"271031522","country_code":"US","phone":"3367683361","fax":"3366592446"}],"license":{"state":"NC","number":"2015-00476"},"identifiers":[{"type_code":"01","label":"Other","value":"PENDING","state":"NC","issuer":"BCBSNC"},{"type_code":"01","label":"Other","value":"PENDING","state":null,"issuer":"UNITED HEALTHCARE"},{"type_code":"05","label":"Medicaid","value":"PENDING","state":"NC","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20150918000378","type_code":"14-04","type_desc":"PRACTITIONER - OTOLARYNGOLOGY","state":"NC","pac_id":"6103133467"}]},"enumeration_date":"2010-04-05","last_updated":"2023-06-19","_meta":{"source":"NPPES","snapshot_date":"2023-06-19","doc_url":"https://findmynpi.com/api"}}