Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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James O'Bryan Willey, PA

Individual provider Physician Assistant · NPI 1326059692

James O'Bryan Willey, PA is a Physician Assistant in Kettering, Ohio. Qualified in 2004, 22 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
22
Licensed in
OH
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3737 Southern Blvd Ste 2100
Kettering, OH 45429-1225
Phone: (937) 433-5309
Fax: (937) 298-0287
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 2155 (OH)
Physician Assistant Taxonomy 363A00000X · Licence 50002155 (OH)

Record details

NPI number1326059692
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 11, 2006
Last updated in NPPESNovember 13, 2020
Certification dateNovember 13, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Kettering