Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Matthew Willis

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1215324579

Matthew Willis is a Student in an Organized Health Care Education/Training Program in Richmond, Virginia. Works from 3 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

1300 E Marshall St
Richmond, VA 23298-5028
Phone: (804) 828-3144
Fax: (804) 628-7104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1215 Lee St., Charlottesville, VA 22908-1340 — (434) 243-9552
  • 1213 E Clay St, Richmond, VA 23298-5071 — (804) 828-3144

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence 0101266094 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1215324579
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 23, 2015
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026
Mailing addressPo Box 780125, Philadelphia, PA 19178-0125

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