DR. HOWARD JAMES WILLIS (NPI# 1093978108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093978108 |
| Entity Type | Individual |
| Full Name | DR. HOWARD JAMES WILLIS |
| Credential | D.O. |
| Practice Address |
655 S 4th E Ste 600 Preston ID 83263-1624 |
| Mailing Address |
500 S 11th Ave Ste 400 Pocatello ID 83201-4880 |
| Practice Telephone | 2088523200 |
| Practice Fax Number | 2088520517 |
| Mailing Telephone | 2082327862 |
| Mailing Fax Number | 2082322408 |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2019-04-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 0-177 | ID | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2525 Road 218, Cheyenne, WY 820099103 | 3072145129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619900537 | Howard Willis | Internal Medicine | 1005 Talbotton Rd, Suite B, Columbus, GA 31904-8757 | 2006-07-07 |
| Street Address |
655 S 4TH E STE 600 |
| City | PRESTON |
| State | ID |
| Zip Code | 83263-1624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447735493 | Marie Luke | Massage Therapist | 8 South State, Preston, ID 83263 | 2018-09-26 |
| 1881945921 | Michael David Earley | Chiropractor | 645 N State St, Preston, ID 83263 | 2012-09-28 |
| 1184872632 | Joel Thomas Webb | Physician Assistant | 47 N 1st E, Preston, ID 83263 | 2008-09-08 |
| 1245490390 | Daniel Yugi Patten | Family Medicine | 47 N. 1st E., Preston, ID 83263 | 2008-06-12 |
| 1144313610 | Tifani Waechtler | Physical Therapist | 43 North 100 East, Preston, ID 83263 | 2006-10-02 |
| 1215035969 | Larry's Family Pharmacy, Inc. | Pharmacist | 217 South State St., Preston, ID 83263 | 2006-09-20 |
| 1801909122 | David Bradley Beckstead | Family Medicine | 41 North 1 East, Preston, ID 83263 | 2006-08-17 |
| 1922022482 | Alan D Holt | Nurse Anesthetist, Certified Registered | 44 North 100 East, Preston, ID 83263 | 2006-07-27 |
| 1780979914 | Stuart G Knapp | Family Medicine | 47 N 1st E, Preston, ID 83263 | 2011-06-15 |
| 1104135326 | Chantee I Wyatt | Physician Assistant | 47 N 1st E, Preston, ID 83263 | 2010-10-05 |
| Find all providers in zip 83263 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467051 | Janene Caldwell Witherite | General Practice | 1077 Stellar End Rd, Victor, ID 83455-4973 | 2020-11-02 |
| 1336797042 | Brightview Senior Health | General Practice | 1983 N Synergy Pl, Eagle, ID 83616-7332 | 2019-08-27 |
| 1346801941 | Daniel Campbell | General Practice | 2939 E Idavada Ct, Nampa, ID 83686-5899 | 2019-06-25 |
| 1932581089 | Matthew Hall | General Practice | 1232 Rigby Rd, Bancroft, ID 83217 | 2015-06-25 |
| 1881074201 | Lindsey Wells | General Practice | 2537 W State St Ste 110, Boise, ID 83702-2200 | 2015-06-01 |
| 1043697576 | William Chapman | General Practice | 1948 W. Blackwell Mill Road, Coeur D Alene, ID 83814 | 2015-05-05 |
| 1265824312 | Drugshield Inc | General Practice | 3085 N Cole Rd, Ste 108, Boise, ID 83704-5968 | 2015-02-26 |
| 1215344353 | Lanie Benson | General Practice | 460 N 3rd E, Driggs, ID 83422-5146 | 2014-07-22 |
| 1356614770 | Charles Thomas Mcgee | General Practice | 2385 W Bolivar Ave, Coeur D Alene, ID 83815-9134 | 2012-02-15 |
| 1487926564 | Boise Image Enhancement Centre, Inc. | General Practice | 9382 W Overland Rd, Boise, ID 83709-2505 | 2012-02-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. HOWARD JAMES WILLIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.